SearchIllinois163WP0808X

Mary Andris

NPI 1710074414 · on the registry since 2006 · sole proprietor

Practice

Address
108 W Market
Bloomington, IL 61701
Phone
(309) 827-5351
Fax
(309) 829-6808
Clinicians at this address
2

Registry record

Primary taxonomy
163WP0808X
163WP0808X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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