Individual
PHYLLIS J WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56 APPLE LN, PARK FOREST, IL 60466-2052
(708) 200-2319
Mailing address
56 APPLE LN, PARK FOREST, IL 60466-2052
(708) 200-2319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041286214
IL
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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