Individual
SERENA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 INGALLS DR, HARVEY, IL 60426-3558
(855) 826-3878
Mailing address
10660 PLEASANTDALE CT, COUNTRYSIDE, IL 60525-5073
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2090308060041475650
IL
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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