Organization
LOTUS GERIATRIC NURSE PRACTITIONER CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA ANN MCCANN APN BC (ADVANCED PRACTICE NURSE)
(708) 373-7929
Entity
Organization
Contact information
Practice address
5801 S CASS AVE, WESTMONT, IL 60559-2300
(630) 971-2645
Mailing address
12851 S PONDEROSA DR, PALOS HEIGHTS, IL 60463-1931
(708) 373-7929
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209008833
IL
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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