Individual
AUDREY L MASCITTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
266 BLAZING STAR DR, MINOOKA, IL 60447-8433
(708) 966-9465
(708) 866-2038
Mailing address
266 BLAZING STAR DR, MINOOKA, IL 60447-8433
(708) 966-9465
(708) 866-2038
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277003370
IL
Other
Enumeration date
05/09/2019
Last updated
05/22/2025
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