Individual
MS. CAROL STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN FNP-BC
Contact information
Practice address
520 S MAPLE AVE, OAK PARK, IL 60304
(708) 660-5956
Mailing address
520 S. MAPLE, WOUND CARE CLINIC, OAK PARK, IL 60304
(708) 660-5956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.015280
IL
Other
Enumeration date
02/13/2017
Last updated
01/09/2019
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