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AIDA RUTH GABO BEARNOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
33831 N SUMMERFIELDS DR, GURNEE, IL 60031-4273
(847) 337-5323
(847) 604-6708
Mailing address
33831 N SUMMERFIELDS DR, GURNEE, IL 60031-4273
(847) 337-5323
(847) 604-6708

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
041.287233
IL
363LF0000X
Family Nurse Practitioner
Primary
209.024085
IL

Other

Enumeration date
02/21/2021
Last updated
12/16/2021
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