Individual
MRS. MARY THERESE PETRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND MS RN FNP BC
Contact information
Practice address
2970 CHARTRES, HYGIENIC INSTITUTE COMMUNITY HEALTH CLINIC, LA SALLE, IL 61301
(815) 223-0196
(815) 223-0358
Mailing address
24007 MAJESTIC DRIVE, MINOOKA, IL 60447
(815) 467-2871
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
IL
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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