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Individual

JANE POMRANKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17495 LA GRANGE RD, TINLEY PARK, IL 60487-7581
(708) 226-7000
(708) 226-7174
Mailing address
17495 LA GRANGE RD, TINLEY PARK, IL 60487-7581
(708) 226-7000
(708) 226-7174

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013317
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F400268805
MEDICARE LOC 15
IL
01
F400268808
MEDICARE LOC 16
IL
Enumeration date
12/28/2015
Last updated
01/13/2016
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