Individual
MRS. JUDY ALISON MORIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1875 DEMPSTER ST STE 625, PARK RIDGE, IL 60068-1137
(847) 723-4088
(847) 627-8700
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209017000
IL
Other
Enumeration date
03/28/2018
Last updated
11/01/2024
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