Individual
LINDA M ROOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050
(815) 759-8200
(815) 759-4257
Mailing address
4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050-8437
(815) 759-8200
(815) 759-4257
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209006005
IL
363LF0000X
Family Nurse Practitioner
Primary
209006005
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209006005
STATE LICENSE
IL
Enumeration date
04/09/2007
Last updated
10/22/2018
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