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Individual

LOUINA N. MOLINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, APNP-F

Contact information

Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-7401
(815) 337-7100
(815) 337-4793
Mailing address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-7401
(815) 338-6600

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209012289
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1699164897
BCBSWI
WI
05
1699164897
WI
01
209012289
STATE LICENSE
IL
01
MOLINLOU
MERCYCARE INSURANCE
WI
Enumeration date
01/12/2015
Last updated
05/05/2021
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