Individual
JEANETTE T MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
111 SPRING ST, STREATOR, IL 61364-3332
(815) 672-4587
(815) 673-3582
Mailing address
111 SPRING ST, STREATOR, IL 61364-3332
(815) 672-4587
(815) 673-3582
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209019071
IL
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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