NPI 1063446938

Cumberland County

Organisation Public Health or Welfare Agency Toledo, IL

Practice location

Address: 200 S. Indiana St., Toledo, IL 62468-0130
Phone: (217) 849-3211
Fax: (217) 849-3121
Mailing address: P.O. Box 130, Toledo, IL 62468-0130

Authorised official

Name: Cynthia Diane Hanley
Title: Hr Manager
Phone: (217) 849-3211

Registered specialties (2)

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X

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Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 209005982 (IL)

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Registry record

NPI: 1063446938
Entity type: Organization
NPI issued: 10 Jul 2006
Record last updated: 4 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.