Individual
LAURA HINERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 RANDALL RD, GENEVA, IL 60134-4200
(630) 232-0610
(630) 232-0675
Mailing address
304 RANDALL RD, GENEVA, IL 60134-4200
(630) 232-0610
(630) 232-0675
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209013063
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400244998
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
08/17/2015
Last updated
11/19/2015
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