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Individual

CLEMENTA ISTRATA-IACOB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
911 N ELM ST STE 102, HINSDALE, IL 60521-3640
(630) 495-9356
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.024618
IL

Other

Enumeration date
12/07/2021
Last updated
05/27/2022
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