person
Ila Mae Minnick
Administrator Registered Nurse in Caledonia, Illinois
NPI 1134240989

Ila Mae Minnick is an Administrator Registered Nurse based in Caledonia, IL and is specialized in Administrator. Ila Mae Minnick practices in Caledonia, IL. The NPI Number for Ila Mae Minnick is 1134240989 and holds a License No. (Illinois).

The current practice location address for Ila Mae Minnick is 7604 Bridlewood Rd, Caledonia, IL and can be reached out via phone at 815-885-1195.

Location: 7604 Bridlewood Rd, Caledonia, IL, 61011-9013
person
Provider Profile Details
NPI Number
1134240989
Provider Name
Ila Mae Minnick
Credential
Provider Entity Type
Individual
Gender
Female
Address
7604 Bridlewood Rd, Caledonia, IL, 61011-9013
Phone Number
815-885-1195
Fax Number
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7604 Bridlewood Rd
City
State
Zip
61011-9013
Phone Number
815-885-1195
Fax Number
person
Provider Business Mailing Address Details
Address
7604 Bridlewood Rd
City
State
Zip
61011-9013
Phone Number
815-885-1195
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Administrator
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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