Individual
EKI DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3803 SPRING ST, MOUNT PLEASANT, WI 53405-1660
(262) 687-4011
Mailing address
860 MILWAUKEE AVE STE 124, BUFFALO GROVE, IL 60089-2510
(847) 262-9595
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209017072
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209017072
—
IL
Enumeration date
01/24/2018
Last updated
03/22/2024
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