Individual
MRS. LAURA ANNE RECKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNP, AGPCNP-BC
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 399-3917
(847) 933-6613
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 399-3917
(847) 933-6613
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.014160
IL
363LG0600X
Gerontology Nurse Practitioner
209.014160
IL
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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