Individual
ANDREA C KOMSRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
1000 N WESTMORELAND RD, PAVILION B, LEVEL 1, LAKE FOREST, IL 60045
(847) 534-3278
Mailing address
1000 N. WESTMORELAND RD, PAVILION B, LEVEL 1, LAKE FOREST, IL 60045
(847) 534-3278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.017146
IL
Other
Enumeration date
06/15/2018
Last updated
10/30/2019
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