Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANA ELIZABETH POOLE, RRT
Active Sole ProprietorDIANA ELIZABETH POOLE, RRT is a 2279G1100X healthcare provider located in WOLF LAKE, Illinois. NPI 1922363290 is currently active in the NPPES registry. Verify at CMS.
2279G1100X · WOLF LAKE, IL
Registration Details
- NPI Number
- 1922363290
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2012 (14.05542993379 yrs)
- Last Updated
- Jul 11, 2012
- License
-
194007005 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9035 MAIN STWOLF LAKE, IL, 629981057Browse IL providers · Browse ZIP 62998
- Phone
- 6188338260
- Primary Specialty
-
2279G1100X
2279G1100X
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.