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Organization

RISE AND THRIVE HEALTH CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA KANDIS GUTIERREZ FNP-BC (OWNER/NURSE PRACTITIONER)
(815) 685-4665
Entity
Organization

Contact information

Practice address
1106 N LARKIN AVE LOWR LEVEL, JOLIET, IL 60435-3455
(815) 685-4665
(630) 566-3322
Mailing address
1106 N LARKIN AVE LOWR LEVEL, JOLIET, IL 60435-3455
(815) 685-4665
(630) 566-3322

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1245876846
IL
Enumeration date
09/10/2020
Last updated
04/09/2024
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