Susan A Mack, APRN-FPA Valid NPI

Individual provider · Family Nurse Practitioner · Des Plaines, IL

NPI

1003808270

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

277000186 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2005-08-16

Last updated

2021-12-07