Individual provider · Type 1 NPI
Janze Marium Issac, ANP
Gerontology Nurse Practitioner · Chicago, IL
NPI number
1912462870
Active
Practice location
1550 S Indiana Ave Ste 100
Chicago, IL 60605-4835
Mailing address
650 S River Rd Unit 404
Des Plaines, IL 60016-8430
Other practice locations
- 650 S River Rd Unit 404, Des Plaines, IL 60016-8430 · (845) 480-2862
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 209017708 (IL) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1912462870
Janze Marium Issac, ANP's National Provider Identifier is 1912462870, issued on Feb 5, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Chicago, IL. The record was last updated on May 7, 2019.