Individual
MICHELLE PAETOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3351 W MAIN ST, ST CHARLES, IL 60175-1004
(630) 797-9626
(630) 443-3472
Mailing address
1901 E VOORHEES ST, DANVILLE, IL 61834-4509
(630) 797-9626
(630) 443-3472
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209009498
IL
Other
Enumeration date
07/31/2012
Last updated
04/10/2015
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