Individual
DR. LOUISE M MEDEARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP
Contact information
Practice address
2301 COURT ST, PEKIN, IL 61554-5304
(303) 308-5100
Mailing address
13999 TOWERLINE RD, PEKIN, IL 61554-8797
(309) 267-6314
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209025466
IL
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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