Individual
MRS. ASHLEY N PERREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
500 N WALL ST STE C100, KANKAKEE, IL 60901-2942
(844) 404-4787
(815) 936-3243
Mailing address
500 N WALL ST STE C100, KANKAKEE, IL 60901-2942
(844) 404-4787
(815) 936-3243
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041408316
IL
363LF0000X
Family Nurse Practitioner
Primary
209018073
IL
Other
Enumeration date
08/15/2018
Last updated
03/29/2021
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