Organization · Type 2 NPI
Radiance Healthcare Services LLC
Psychiatric/Mental Health Nurse Practitioner · Frankfort, IL
NPI number
1093582892
Active
Practice location
20550 S Lagrange Rd Ste 3
Frankfort, IL 60423-1811
Fax (312) 900-9373
Other practice locations
- 100 S State St Ste 402, Chicago, IL 60603-5513 · (855) 686-9444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1093582892
Radiance Healthcare Services LLC's National Provider Identifier is 1093582892, issued on Dec 11, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Frankfort, IL. The record was last updated on Aug 26, 2024.