Individual
ANTHONY LEMUEL DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
10350 HALIGUS RD, HUNTLEY, IL 60142
(815) 338-6600
(847) 802-7112
Mailing address
10350 HALIGUS RD, HUNTLEY, IL 60142-9545
(815) 338-6600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
209017574
IL
363L00000X
Nurse Practitioner
Primary
209017574
IL
363LF0000X
Family Nurse Practitioner
209017574
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209017574
STATE LICENSE
IL
Enumeration date
05/24/2018
Last updated
06/18/2019
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