Individual
MRS. ANILTTA ALEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5801 S CASS AVE, WESTMONT, IL 60559-2300
(630) 217-6779
(630) 969-7166
Mailing address
PO BOX 878, WESTMONT, IL 60559-0878
(630) 217-6779
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209006397
IL
363LA2200X
Adult Health Nurse Practitioner
209006397
IL
Other
Enumeration date
07/13/2007
Last updated
03/14/2024
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