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Search › Illinois › 363LF0000X

Agnes Fenner

NPI 1528518602 · on the registry since 2016

Practice

Address
15 Founders Ln
Jacksonville, IL 62650
Phone
(217) 528-7541
Fax
(217) 527-3844
Organisation at this address
Springfield Clinic Llp
Memorial Physician Services
Jacksonville Family Health Care Lab
Springfield Clinic Jacksonville Outreach Lab
Inferred from a shared address, not stated in the registry.
Clinicians at this address
27

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-06-18

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