Individual
RANA K MOUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10604 SOUTHWEST HIGHWAY, CHICAGO RIDGE, IL 60415
(708) 422-0636
Mailing address
15400 LISA CT, ORLAND PARK, IL 60462-3900
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.029921
IL
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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