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Individual

MAYRA KITZURY PEREZ MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, CNP

Contact information

Practice address
4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050-8437
(815) 759-8070
(815) 759-4931
Mailing address
4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050-8437
(815) 759-8070
(815) 759-4931

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209028365
IL
363LA2100X
Acute Care Nurse Practitioner
209.028365
IL

Other

Enumeration date
10/31/2023
Last updated
04/24/2024
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