Individual
CHERYL KLIOT-LAPE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
800 W ROMEO B GARRETT AVE, PEORIA, IL 61605-2207
(309) 676-9825
Mailing address
5100 RELIABLE PARKWAY, CHICAGO, IL 60686-0001
(309) 676-9825
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7215059
BCBS PPO
IL
Enumeration date
06/01/2006
Last updated
07/08/2007
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