Individual
LINDSEY PASTORIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
10408 N CENTERWAY DR STE CDE, PEORIA, IL 61615-1234
(309) 308-5100
(309) 308-5101
Mailing address
10408 N CENTERWAY DR STE CDE, PEORIA, IL 61615-1234
(309) 308-5100
(309) 308-5101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209019588
IL
363LF0000X
Family Nurse Practitioner
Primary
209019588
IL
Other
Enumeration date
07/11/2019
Last updated
11/01/2024
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