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Individual

GLENDA CORDERO FRAGANTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-4323
(815) 759-4948
Mailing address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-4323
(815) 759-4948

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-011677
IL
363LF0000X
Family Nurse Practitioner
041297029
IL

Other

Enumeration date
07/08/2014
Last updated
05/05/2021
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