Individual
MRS. JILL E DIVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
1230 N. HIGHLAND AVE, AURORA, IL 60506
(630) 966-4319
(630) 859-3841
Mailing address
1230 N. HIGHLAND AVE, AURORA, IL 60506
(630) 966-4319
(630) 859-3841
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
041219070
IL
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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