Individual
MRS. THERESA DONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
800 BLACK RD, JOLIET, IL 60435-5942
(815) 823-8164
Mailing address
1200 SWITCHGRASS CT, MINOOKA, IL 60447-8431
(815) 674-1191
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.015934
IL
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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