Individual
MRS. DIANE KATHERINE VENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP-C
Contact information
Practice address
1725 W HARRISON ST, SUITE 250, CHICAGO, IL 60612
(312) 942-6163
(312) 563-2096
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209011636
IL
363LG0600X
Gerontology Nurse Practitioner
209011636
IL
363LP2300X
Primary Care Nurse Practitioner
209011636
IL
Other
Enumeration date
08/13/2014
Last updated
05/05/2021
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