Individual
JOYCE KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CDE
Contact information
Practice address
3 ERIE CT, OAK PARK, IL 60302-2519
(708) 763-1368
(708) 763-1014
Mailing address
3 ERIE CT, OAK PARK, IL 60302-2519
(708) 763-1368
(708) 763-1014
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
041134120
IL
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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