Organization · Type 2 NPI
South Side Rejuvenation LLC
Family Nurse Practitioner · Tinley Park, IL
NPI number
1386418184
Active
Practice location
17749 65th Ave
Tinley Park, IL 60477-4370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Tinley Park
About NPI 1386418184
South Side Rejuvenation LLC's National Provider Identifier is 1386418184, issued on Nov 13, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tinley Park, IL. The record was last updated on Nov 13, 2023.