Individual
ANN LYNN PAMPALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11200 W LINCOLN HWY, MOKENA, IL 60448-8208
(815) 464-2171
(815) 464-2176
Mailing address
1 CVS DR, 2100 HIGHLAND, WOONSOCKET, RI 02895-6146
(401) 770-1669
(401) 652-0276
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
70000080A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000325855
PROVIDER BCBS NUMBER
IN
Enumeration date
12/19/2006
Last updated
02/10/2011
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