Individual
MS. DENISE ANN BOCKWOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, APRN, FNP
Contact information
Practice address
2025 S CHICAGO ST STE B, JOLIET, IL 60436-3172
(815) 957-4174
(815) 714-6202
Mailing address
PO BOX 746721, ATLANTA, GA 30374-6721
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209-001718
IL
363LF0000X
Family Nurse Practitioner
209001718
IL
363LF0000X
Family Nurse Practitioner
Primary
277.000114
IL
363LP2300X
Primary Care Nurse Practitioner
277000114
IL
Other
Enumeration date
04/04/2006
Last updated
08/02/2023
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