Search › Illinois › 235Z00000X
Diane Fourdyce
NPI 1841217692 · on the registry since 2006 · sole proprietor
Practice
- Address
- 7316 Jerusalem Rd
Edwardsville, IL 62025 - Phone
- (618) 656-4133
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- 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