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Organization · Family Nurse Practitioner · Des Plaines, IL

NPI
1902844400
Type
Organization (Type 2)
Primary specialty
Family Nurse Practitioner (Nurse Practitioner)
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363LF0000X
License number
060008633 (IL)
Enumerated
2006-06-04
Last updated
2008-09-18
Practice location
514 Teela Ln
Des Plaines, IL 60016-1230
(847) 337-1396

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