Individual
EILEEN MAGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N HIGHLAND AVE, AURORA, IL 60506-3814
(630) 892-4355
(630) 892-2832
Mailing address
8321 W NORTH AVE, MELROSE PARK, IL 60160-1605
(708) 681-2298
(708) 681-2398
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209007067
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209007067
STATE OF IL DEPT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
06/23/2008
Last updated
04/02/2015
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