IndividualActive
Bonnie Womack
NPI 1104511674 · Case Management Registered Nurse · Marion, IL
Provider details
- NPI number
- 1104511674
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 041315731 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
2401 W Main St
Marion, IL 62959-1188
Phone: (618) 997-5311
Approximate (ZIP-level) locationGet directions
Mailing address
2401 W Main St
Marion, IL 62959-1188
Registry dates
- Enumerated
- 2023-04-10
- Last updated
- 2023-04-10
- Certified
- 2023-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.