Whalio Doctors

NPI 1033369681

Tori Laine Mathis, LPN

Practitioner Licensed Practical Nurse Du Quoin, IL

Practice location

Address
119 Gas Plant Rd, Du Quoin, IL 62832-3866
Phone
(618) 542-8702
Mailing address
PO Box 155, Christopher, IL 62822-0155

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 043088959 (IL)

Registry record

NPI
1033369681
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Sep 2008
Record last updated
19 Sep 2008

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.