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Individual

ANGELLA WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, FNP-BC

Contact information

Practice address
17119 VOLLBRECHT RD, SOUTH HOLLAND, IL 60473-3650
(773) 418-6856
Mailing address
17119 VOLLBRECHT RD, SOUTH HOLLAND, IL 60473-3650
(773) 418-6856

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.299430
IL
363LF0000X
Family Nurse Practitioner
Primary
209.019245
IL

Other

Enumeration date
03/20/2019
Last updated
04/09/2019
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