Individual
BEATA KUSNIERZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
181 WAUKEGAN RD, NORTHFIELD, IL 60093-2755
(847) 446-0000
Mailing address
1829 E BASSWOOD LN, MT PROSPECT, IL 60056-1809
(224) 392-2861
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
209025770
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209025770
IL
363LP2300X
Primary Care Nurse Practitioner
209025770
IL
363LP2300X
Primary Care Nurse Practitioner
AG05220075
IL
Other
Enumeration date
07/05/2022
Last updated
04/26/2023
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