Individual
JANELLE KLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
9951 ROCK CUT XING, LOVES PARK, IL 61111-1999
(815) 639-8500
(815) 639-8501
Mailing address
681 BRIGHTON CIR, PINGREE GROVE, IL 60140-2100
(630) 337-4713
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209014610
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209014610
—
IL
Enumeration date
07/28/2016
Last updated
07/11/2023
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