Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAULA R ICENOGLE
ActivePAULA R ICENOGLE is a Driver healthcare provider located in COLCHESTER, Illinois. NPI 1023281847 is currently active in the NPPES registry. Verify at CMS.
Driver · COLCHESTER, IL
Registration Details
- NPI Number
- 1023281847
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 13, 2008 (18.363849401841 yrs)
- Last Updated
- Apr 13, 2008
- License
-
I25267678827 (IL)
Practice Information
- Address
-
708 SHERRY STCOLCHESTER, IL, 623261176Browse IL providers · Browse ZIP 62326
- Phone
- 3097763978
- Primary Specialty
-
Driver
172A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.