Individual
MS. MARY BETH WERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 N JEFFERY STREET, KANKAKEE, IL 60901
(815) 939-8501
Mailing address
817 N PRAIRIE VIEW DR, KANKAKEE, IL 60901-7399
(815) 370-9282
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
041.207211
IL
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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