SearchIllinois183500000X

Mary Eberle

NPI 1568063428 · on the registry since 2020 · sole proprietor

Practice

Address
2071 N Main St
Canton, IL 61520
Phone
(309) 647-8100
Organisation at this address
Walmart Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-11-05

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