SearchIllinois207Y00000X

Sandra Ettema, M.D., PH.D

NPI 1760577902 · on the registry since 2006

Practice

Address
1005 Health Center Dr Ste 201
Mattoon, IL 61938
Phone
(217) 258-2409
Fax
(217) 258-2323
Clinicians at this address
34

Registry record

Primary taxonomy
207Y00000X
207Y00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-08

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