Individual
TRIPT BAJWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1004 PAWLAK PKWY, NEW LENOX, IL 60451-9401
(815) 215-3329
Mailing address
1004 PAWLAK PKWY, NEW LENOX, IL 60451-9401
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PENDING
IL
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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