Individual
MACEY PURDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
303 W OGDEN AVE, WESTMONT, IL 60559-1419
(630) 435-6107
(630) 328-2375
Mailing address
PO BOX 713260, CHICAGO, IL 60677-0001
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-025820
IL
363LW0102X
Women's Health Nurse Practitioner
1052508
TX
Other
Enumeration date
09/21/2021
Last updated
07/18/2025
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