Individual
MS. NORA JANE BAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4440 W 95TH ST, OUTPATIENT PAVILION, 6TH FLOOR, OAK LAWN, IL 60453-2600
(877) 684-4327
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-2600
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.370197
IL
363L00000X
Nurse Practitioner
Primary
209015231
IL
363LF0000X
Family Nurse Practitioner
209-015231
IL
Other
Enumeration date
09/27/2016
Last updated
08/30/2024
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