Individual
DOROTHY AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 MUNICIPAL DR, MCHENRY, IL 60050-5483
(815) 759-2306
Mailing address
3715 MUNICIPAL DR, MCHENRY, IL 60050-5483
(815) 759-2306
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
041342289
IL
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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