Individual
DONNA MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2160 S FIRST AVE, 101 1740 LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153
(708) 216-9000
(708) 216-9033
Mailing address
2160 S FIRST AVE, 101 1740 LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153
(708) 216-9000
(708) 216-9033
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209000481
IL
363LW0102X
Women's Health Nurse Practitioner
041248666
IL
Other
Enumeration date
03/14/2007
Last updated
06/07/2022
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