Individual
JOY C MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1200 MAPLE RD, JOLIET, IL 60432-1439
(815) 740-1100
Mailing address
4821 W 106TH ST, OAK LAWN, IL 60453-5232
(708) 217-6548
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.008507
IL
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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