Individual
LILIAN M PUMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
581 ELM PL STE 110, HIGHLAND PARK, IL 60035-3122
(847) 861-7771
Mailing address
1595 LITTLE JOHN CT, HIGHLAND PARK, IL 60035-2124
(224) 619-9310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.018484
IL
363LA2200X
Adult Health Nurse Practitioner
AG06180135
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.018484
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.018484
ADVANCE PRACTICE REGISTERED NURSE
IL
Enumeration date
12/04/2018
Last updated
08/17/2024
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