Individual
MINI PRADEEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1032 E OGDEN AVE, NAPERVILLE, IL 60563-8618
(630) 705-1208
Mailing address
49 CRAB TREE DR, WESTMONT, IL 60559-3480
(630) 963-9412
(630) 963-9412
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209008767
IL
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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