Doctor Name: | JOANNE LILLIAN MECHERLE |
NPI Number: | 1013010826 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 108 W Market St Bloomington, IL - 617013918 |
Business Phone Number: | 3098275351 |
Business Fax Number: | 3098296808 |
Mailing Address: | 2214 Ridge Creek Dr, BLOOMINGTON |
State: | IL |
Postal Code: | 617044164 |
Phone Number: | 3098293409 |
Fax Number: | |
NPI Enumeration Date: | 09/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |