Individual
CAROLE J EATOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1511 N BLACKHAWK BLVD, ROCKTON, IL 61072-1513
(815) 395-5879
(815) 624-2186
Mailing address
1511 N BLACKHAWK BLVD, ROCKTON, IL 61072-1513
(815) 395-5879
(815) 624-2186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209008398
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209008398
ADVANCED PRACTICE NURSE
IL
Enumeration date
10/21/2010
Last updated
10/21/2010
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