Eydie Gass, | |
904 M L King Dr, Centralia, IL 62801-3058 | |
(618) 533-1391 | |
Not Available |
Full Name | Eydie Gass |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 904 M L King Dr, Centralia, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699409060 | NPI | - | NPPES |
370915481007 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 043.088069 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Eydie Gass, 904 M L King Dr, Centralia, IL 62801-3058 Ph: (618) 533-1391 | Eydie Gass, 904 M L King Dr, Centralia, IL 62801-3058 Ph: (618) 533-1391 |
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› Verified 5 days ago
Czareenah Dela Cruz Apostol, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 904 E Martin Luther King Dr, Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012 | |
Beth Angle, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 904 E. Martin Luther King Drive, Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012 |