Individual
ARLENE MORISHITA PONTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN
Contact information
Practice address
3200 GRANT ST, EVANSTON, IL 60201-1903
(847) 492-4829
(847) 492-2948
Mailing address
3200 GRANT ST, ATTN ACCOUNTING DEPARTMENT, EVANSTON, IL 60201-1903
(847) 316-8720
(847) 316-8723
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209000780
IL
Other
Enumeration date
07/11/2006
Last updated
05/19/2015
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