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ADVANCED PRACTICE ASSOCIATES

Active
Other names
Advanced Practice Assocates
Organization subpart
No

Provider details

NPI number
Authorized official
THERESE M KOZUBIK NP (NURSE PRACTITIONER)
(630) 692-0355
Entity
Organization

Contact information

Practice address
580 BRECKENRIDGE DR, AURORA, IL 60504-5259
(630) 692-0355
Mailing address
580 BRECKENRIDGE DR, AURORA, IL 60504-5259
(630) 692-0355

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DD4541
PALMETTO GBA
IL
Enumeration date
08/28/2007
Last updated
01/30/2008
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