Individual
MARY VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
800 BIESTERFIELD RD, SUITE 510, ELK GROVE VILLAGE, IL 60007-3361
(847) 981-3660
(847) 956-5108
Mailing address
800 BIESTERFIELD RD, SUITE 510, ELK GROVE VILLAGE, IL 60007-3361
(847) 981-3660
(847) 956-5108
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
209006626
IL
Other
Enumeration date
09/05/2007
Last updated
11/10/2008
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