Individual
EMMA SLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP-PC
Contact information
Practice address
1400 INDIAN AVE, AURORA, IL 60505-3137
(630) 526-7912
Mailing address
400 N HIGHLAND AVE, AURORA, IL 60506-3814
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209025932
IL
Other
Enumeration date
09/12/2022
Last updated
01/12/2023
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