Individual
DOROTA CZERNECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
12255 S 80TH AVE STE 203, PALOS HEIGHTS, IL 60463-1284
(708) 827-2021
(708) 827-2241
Mailing address
12255 S 80TH AVE STE 203, PALOS HEIGHTS, IL 60463-1284
(708) 827-2021
(708) 827-2241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014026
IL
363LA2100X
Acute Care Nurse Practitioner
209014026
IL
Other
Enumeration date
03/11/2016
Last updated
10/07/2022
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