Individual
ERIN VIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6155 GRAND AVE STE 100, GURNEE, IL 60031-1651
(224) 271-6700
(224) 271-6701
Mailing address
6155 GRAND AVE STE 100, GURNEE, IL 60031-1651
(224) 271-6700
(224) 271-6701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209019649
IL
363LF0000X
Family Nurse Practitioner
209.019649
IL
Other
Enumeration date
03/02/2020
Last updated
12/08/2021
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