Individual
MA RITZ SERVANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
534 W CHESTNUT ST STE 100, HINSDALE, IL 60521-3175
(630) 568-3382
Mailing address
1007 GREENLEAF DR, JOLIET, IL 60436-9722
(815) 295-1451
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209020131
IL
363LF0000X
Family Nurse Practitioner
Primary
209020131
IL
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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