Organization · Type 2 NPI
Well-Rooted Pediatrics LLC
Family Nurse Practitioner · Crystal Lake, IL
NPI number
1780157602
Active
Practice location
820 E Terra Cotta Ave Ste 132
Crystal Lake, IL 60014-3655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in Crystal Lake
About NPI 1780157602
Well-Rooted Pediatrics LLC's National Provider Identifier is 1780157602, issued on Jan 3, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Crystal Lake, IL. The record was last updated on Jan 3, 2019.