Individual
MISS JENNY MAT-AN WILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9517 LAWLER AVE, SKOKIE, IL 60077-1274
(630) 544-4151
Mailing address
9517 LAWLER AVE, SKOKIE, IL 60077-1274
(630) 544-4150
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041-333984
IL
Other
Enumeration date
09/25/2007
Last updated
01/06/2012
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