Connie Requarth, APN

NPI 1467462085 · on the registry since 2006

Practice

Address: 2905 North Main Street
Decatur, IL 62526
Phone: (217) 877-9117
Fax: (217) 877-3078
Organisation at this address: Decatur Open Mri, Inc.
John C. Kefalas, M.D.,S.C.
Community Health Improvement Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 363LW0102X
363LW0102X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-11-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois