SearchIllinois101YP2500X

Debra Fanning, LCPC

NPI 1699110742 · on the registry since 2013

Practice

Address
180 S Main St Fl 4
Canton, IL 61520
Phone
(309) 706-3190
Fax
(309) 588-4115
Organisation at this address
Hyde Hearing Center Llc
Axline Pharmacy Ii Inc.
Bond Eye Associates, S.C.
Graham Hospital Association
Graham Hospital Association
Inferred from a shared address, not stated in the registry.
Clinicians at this address
58

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
2013-05-02

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