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Individual

MS. DAWN MARIE VANDERMEER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
9551 171ST ST, TINLEY PARK, IL 60487-6109
(708) 873-0062
Mailing address
9551 171ST ST, TINLEY PARK, IL 60487-6109
(708) 873-0062

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041358938
IL
163W00000X
Registered Nurse
28169646A
IN
363LF0000X
Family Nurse Practitioner
Primary
209018520
IL
363LF0000X
Family Nurse Practitioner
71008641A
IN

Other

Enumeration date
09/24/2018
Last updated
10/22/2020
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