Individual
LAURA LUC-GORBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
5000 S 5TH AVE, GERIATRICS AND EXTENDED CARE BLDG 217, HINES, IL 60141-3030
(708) 202-2408
Mailing address
5000 S 5TH AVE, GERIATRICS AND EXTENDED CARE BLDG 217, HINES, IL 60141-3030
(708) 202-2408
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
209000559
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041253113
STATE LICENSE
IL
01
—
209000559
STATE LICENSE
IL
Enumeration date
09/07/2007
Last updated
08/14/2014
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