Organization · Type 2 NPI

Minuteclinic Diagnostic of Illinois PLLC

Family Nurse Practitioner · Mokena, IL

NPI number 1356485809 Active

Practice location

11200 W Lincoln Hwy
Mokena, IL 60448-8208

Fax (401) 406-3539

Mailing address

1 Cvs Dr, Minuteclinic MC-2295
Woonsocket, RI 02895-6146

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1356485809

Minuteclinic Diagnostic of Illinois PLLC's National Provider Identifier is 1356485809, issued on Feb 17, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mokena, IL. The record was last updated on Jul 24, 2024.