Individual
DIANE KOURETAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7 BLANCHARD CIR STE 102, WHEATON, IL 60189-2038
(630) 682-0500
(630) 682-1078
Mailing address
7 BLANCHARD CIR STE 102, WHEATON, IL 60189-2038
(630) 682-0500
(630) 682-1078
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209004582
IL
363L00000X
Nurse Practitioner
Primary
277000351
IL
Other
Enumeration date
05/03/2006
Last updated
01/17/2022
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