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Contact Information

ANGELA F MCCORMICK, NP
4200 CONESTOGA DR
SPRINGFIELD, IL62711
 Phone: 217-321-9323
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANGELA F MCCORMICK · (Female)

NPI # 1992238810
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 04/07/2017
Last updated 01/06/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 041362669
Hospital affiliation(s)
  • ST JOHNS HOSPITAL - (Acute Care)
    800 E CARPENTER ST
    SPRINGFIELD, IL 62769
  • ST MARYS HOSPITAL - (Acute Care)
    1800 E LAKE SHORE DR
    DECATUR, IL 62521
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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