SearchIllinois2279G1100X

Diana Poole, RRT

NPI 1922363290 · on the registry since 2012 · sole proprietor

Practice

Address
9035 Main St
Wolf Lake, IL 62998
Phone
(618) 833-8260

Registry record

Primary taxonomy
2279G1100X
2279G1100X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-07-11

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