Individual provider · Type 1 NPI

Ken Gabriel Doverte, NP

Adult Health Nurse Practitioner · Park Ridge, IL

NPI number 1417425547 Active

Practice location

1420 Renaissance Dr Ste 207
Park Ridge, IL 60068-1342

Call (847) 296-6161 Map

Fax (847) 574-7444

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X209018290 (IL)

Adult Health Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1417425547

Ken Gabriel Doverte, NP's National Provider Identifier is 1417425547, issued on Nov 7, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Park Ridge, IL. The record was last updated on Mar 31, 2022.