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Individual

DANA CLAYTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
40 75TH ST, WILLOWBROOK, IL 60527-2325
(630) 400-4060
Mailing address
4801 SAUK TRL UNIT B, RICHTON PARK, IL 60471-1017

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.031626
IL
363LF0000X
Family Nurse Practitioner
Primary
209.031626
IL
363LP2300X
Primary Care Nurse Practitioner
209.031626
IL

Other

Enumeration date
02/24/2025
Last updated
06/03/2025
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