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Search › Illinois › 101YP2500X

Nona Waller

NPI 1598000978 · on the registry since 2012 · sole proprietor

Practice

Address
108 W Market St
Bloomington, IL 61701
Phone
(309) 827-5351
Fax
(309) 829-6808
Organisation at this address
Mclean County Center For Human Services, Inc
Mclean County Center For Human Services, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
316

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-08-21

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