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Search › Illinois › 164W00000X

Beth Angle

NPI 1639683824 · on the registry since 2017

Practice

Address
904 E. Martin Luther King Drive
Centralia, IL 62801
Phone
(618) 533-1391
Fax
(618) 533-0012
Organisation at this address
Community Resource Center Inc
Community Resource Center Inc.
Community Resource Center Inc.
Community Resource Center Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
78

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-11-27

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