Individual
GINA N NEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
11S250 S JACKSON ST STE 102, BURR RIDGE, IL 60527-6887
(630) 451-9503
Mailing address
11S250 S JACKSON ST STE 102, BURR RIDGE, IL 60527-6887
(630) 581-5171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014502
IL
Other
Enumeration date
07/18/2016
Last updated
07/21/2022
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