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Individual

MARY GOLEMBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC, PMHNP-C

Contact information

Practice address
1431 OPUS PL STE 110, DOWNERS GROVE, IL 60515-1164
(888) 279-0002
Mailing address
985 LIST LN, BELVIDERE, IL 61008-1520
(937) 564-3178

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277003887
IL
363LP2300X
Primary Care Nurse Practitioner
209015966
IL
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.023143
OH

Other

Enumeration date
06/12/2017
Last updated
06/20/2025
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