Individual
ROSALYN BORDEN KALANTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1 UNIVERSITY CIR, MACOMB, IL 61455-1367
(309) 298-1888
Mailing address
1 UNIVERSITY CIR, MACOMB, IL 61455-1367
(309) 298-1888
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
209.000198
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
309000596
IL
Other
Enumeration date
01/12/2007
Last updated
08/18/2015
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