Individual
MISS DIANE ROSE BABOULAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN FNP-C
Contact information
Practice address
8816 W DEMPSTER ST, NILES, IL 60714-5109
(847) 723-7052
(847) 824-0675
Mailing address
8816 W DEMPSTER ST, NILES, IL 60714-5109
(847) 723-7052
(847) 824-0675
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209008165
IL
Other
Enumeration date
06/17/2010
Last updated
07/23/2012
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