Individual
RITA DIVITO LOCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2000
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2760
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041350994
IL
363L00000X
Nurse Practitioner
Primary
209.018319
IL
Other
Enumeration date
01/14/2019
Last updated
05/21/2019
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