Individual
LYANA KUBILIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
110 W NORTH AVE, ELMHURST, IL 60126-2736
(866) 389-2727
Mailing address
330 60TH CT, WILLOWBROOK, IL 60527-3127
(312) 531-6515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-004780
IL
Other
Enumeration date
07/03/2007
Last updated
04/08/2015
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