Individual
CELESTE PRESPERIN PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 S MADISON AVE, LA GRANGE, IL 60525-2854
(708) 315-4146
Mailing address
1015 S MADISON AVE, LA GRANGE, IL 60525-2854
(708) 315-4146
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.021555
IL
363LG0600X
Gerontology Nurse Practitioner
209.021555
IL
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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