Individual
ESE ADIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20180 S LA GRANGE RD, FRANKFORT, IL 60423-3153
(779) 333-7965
Mailing address
122 HIGHPOINT DR APT 204, ROMEOVILLE, IL 60446-4904
(708) 654-6559
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209026843
IL
363LF0000X
Family Nurse Practitioner
Primary
209026843
IL
Other
Enumeration date
03/28/2023
Last updated
12/18/2023
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