Organization · Type 2 NPI
Local NP PC
Family Nurse Practitioner · La Salle, IL
NPI number
1992317523
Active
Practice location
917 1st St
La Salle, IL 61301-2537
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
About NPI 1992317523
Local NP PC's National Provider Identifier is 1992317523, issued on Aug 17, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in La Salle, IL. The record was last updated on Nov 20, 2025.