SearchIllinois225700000X

Ian Duire, LMT

NPI 1992111207 · on the registry since 2014

Practice

Address
3407 S State Route 157
Glen Carbon, IL 62034
Phone
(618) 288-3610
Organisation at this address
Terry J Coy
Dr. Mary Mioux-Berry, Llc
Optimum Wellness And Rehabilitation Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-07-08

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