Most Relevant Information
Provider Data
| NPI Number: | 1003283920 |
| Provider Name: | MICHELLE BANDY LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 043.083129 |
Most Important Dates
| Enumeration Date: | 08/26/2015 |
| Last Updated: | 08/26/2015 |
Provider Practice Location
1999 WABASH AVE
SUITE 201
SPRINGFIELD
IL
627045351
Practice Location Phone/Fax
| Phone: | 2175232273 |
| Fax: | 2175232272 |
Provider Mailing Location
1999 WABASH AVE
SUITE 201
SPRINGFIELD
IL
627045351
Provider Mailing Phone/Fax
| Phone: | 2175232273 |
| Fax: | 2175232272 |