Anna J Mikos CNM

NPI 1487936415 - Nurse Practitioner - 363LX0001X

NPI Details
NPI 1487936415
Gender Female
Enumeration Date 09/15/2011
Last Updated 09/15/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
4700 W 95TH ST STE 303
OAK LAWN IL, 60453-2572, US
Phone (708) 857-7230
Fax (708) 425-5779
Business Location
4700 W 95TH ST STE 303
OAK LAWN IL, 60453-2572, US
Phone (773) 319-7341
Fax
Toxanomy
Taxonomy Code 363LX0001X
License State Illinois
License Number 209.009030
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According to our database, Ms. Anna J Mikos CNM NPI is 1487936415, taxonomy code is 363LX0001X and license number is 209.009030, license state is located at Illinois. Anna J Mikos CNM physically located at 4700 W 95th St Ste 303, Oak Lawn IL, 60453-2572. NPI Number Anna J Mikos CNM has the Individual type.

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1487936415 NPI number is provided on an as is basis without warranty of any kind. 1487936415 is maintained by the National Plan & Provider Enumeration System. The contents of Anna J Mikos CNM are for informational purposes only.