Individual
MINNARA MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1090 FLAMINGO DR, ROSELLE, IL 60172-4730
(630) 328-9835
Mailing address
1090 FLAMINGO DR, ROSELLE, IL 60172-4730
(630) 328-9835
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041498536
IL
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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