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Jennifer Jo Sides
NPI 1982058442 · on the registry since 2016
Practice
- Address
- 2700 Pauls Dr
Mattoon, IL 61938 - Phone
- (217) 235-1689
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Also registered as
- 374U00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-04-20
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