Individual
JANET RACINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1690 CLUB LAKE CT, ANTIOCH, IL 60002-6203
(630) 263-2648
Mailing address
1690 CLUB LAKE CT, ANTIOCH, IL 60002-6203
(630) 263-2648
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.012569
IL
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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