Hector Jose APN

NPI 1396184107 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1396184107
Gender Male
Enumeration Date 06/14/2013
Last Updated 04/13/2016
Entity Type Individual
Active Over 3 years ago
Practice Location
7035 NORTH AVE
OAK PARK IL, 60302-1015, US
Phone (708) 680-3800
Fax (708) 777-4776
Business Location
808 E WOODFIELD RD
SUITE 100
SCHAUMBURG IL, 60173-4816, US
Phone (847) 605-0030
Fax (877) 950-0072
Toxanomy
Taxonomy Code 363LA2200X
License State Illinois
License Number 209-010704
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According to our database, Hector Jose APN NPI is 1396184107, taxonomy code is 363LA2200X and license number is 209-010704, license state is located at Illinois. Hector Jose APN physically located at 7035 North Ave, Oak Park IL, 60302-1015. NPI Number Hector Jose APN has the Individual type.

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1396184107 NPI number is provided on an as is basis without warranty of any kind. 1396184107 is maintained by the National Plan & Provider Enumeration System. The contents of Hector Jose APN are for informational purposes only.