Individual
IRENE EYONG ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 REMINGTON BLVD STE H, BOLINGBROOK, IL 60440-3664
(630) 226-9407
Mailing address
5909 ARBOR GATE DR, PLAINFIELD, IL 60586-5735
(708) 955-5751
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2090259096
IL
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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