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Individual

MISS CYNTHIA A MCGRATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
9951 ROCK CUT XING, LOVES PARK, IL 61111-1999
(815) 639-8500
(815) 639-8501
Mailing address
9951 ROCK CUT XING, LOVES PARK, IL 61111-1999
(815) 639-8500
(815) 639-8501

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209001419
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209001419
IL STATE LICENSE
IL
01
309000854
IL STATE CTL SUBS LICENSE
IL
Enumeration date
10/21/2005
Last updated
03/07/2023
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