Individual
NANCI H STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
705 S KENSINGTON AVE, LA GRANGE, IL 60525-2708
(708) 216-8554
Mailing address
705 S KENSINGTON AVE, LA GRANGE, IL 60525-2708
(708) 216-8554
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
20901978
IL
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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