Individual
MS. NIRMAL DASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1 TIFFANY PT STE 110, BLOOMINGDALE, IL 60108-2915
(630) 924-1160
(630) 924-1162
Mailing address
1313 BRENTWOOD TRL, BOLINGBROOK, IL 60490-4948
(815) 603-6947
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209018028
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209018028
IDFPR
IL
Enumeration date
09/18/2018
Last updated
09/18/2018
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