Individual
AILEEN J SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-0535
Mailing address
332 BINGHAM CIR, MUNDELEIN, IL 60060-2087
(224) 723-0906
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1353933
WI
363L00000X
Nurse Practitioner
209016040
IL
363L00000X
Nurse Practitioner
277002280
IL
Other
Enumeration date
10/05/2017
Last updated
07/19/2024
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