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Mrs. Dorothea U Diciro, APN,CS
Adult Health Nurse Practitioner in Olney, Illinois
NPI 1649384686

Dorothea U Diciro is an Adult Health Nurse Practitioner based in Olney, IL and is specialized in Adult Health. Dorothea U Diciro practices in Olney, IL and has the professional credentials of APN,CS. The NPI Number for Dorothea U Diciro is 1649384686 and holds a License No. (Illinois).

The current practice location address for Dorothea U Diciro is 1200 N East St, Olney, IL and can be reached out via phone at 618-395-5222 and via fax at 618-395-8552.

Location: 1200 N East St, Olney, IL, 62450-2499
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Provider Profile Details
NPI Number
1649384686
Provider Name
Dorothea U Diciro
Credential
APN,CS
Provider Entity Type
Individual
Gender
Female
Address
1200 N East St, Olney, IL, 62450-2499
Phone Number
618-395-5222
Fax Number
618-395-8552
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180726 01 IL HEALTHLINK
068530 01 IL HEALTH ALLIANCE
institution
Provider Business Practice Location Address Details
Address
1200 N East St
City
State
Zip
62450-2499
Phone Number
618-395-5222
Fax Number
618-395-8552
person
Provider Business Mailing Address Details
Address
1200 N East St
City
State
Zip
62450-2499
Phone Number
618-395-5222
Fax Number
618-395-8552
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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