Individual
CARLI IMMORDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
5201 WILLOW SPRINGS RD STE 440, LA GRANGE HIGHLANDS, IL 60525-6546
(708) 482-3213
Mailing address
612 N OAKLEY BLVD APT 102, CHICAGO, IL 60612-1225
(708) 267-1708
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209026471
IL
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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