Individual
MR. JEFFREY DAN INTUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17901 GOVERNORS HWY STE 206, HOMEWOOD, IL 60430-1146
(708) 960-4280
Mailing address
17901 GOVERNORS HWY STE 206, HOMEWOOD, IL 60430-1146
(708) 960-4280
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.020983
IL
Other
Enumeration date
03/27/2020
Last updated
03/31/2020
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