Individual
MS. GAIL PROKOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-1835
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277.000745
IL
363LA2200X
Adult Health Nurse Practitioner
209.009343
IL
Other
Enumeration date
07/19/2012
Last updated
10/24/2023
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