Doris Fandohan, NURSE PRACTITIONER
NPI #1679038186 in Blue Island, Illinois
Provider Information
- NPI Number
- 1679038186
- Entity Type
- Individual
- Name
- Doris Fandohan, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Feb 8, 2019
- Last Updated
- Jun 6, 2025
Practice Location
- Address
- 3046 127TH ST
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406-1827
- Phone
- (708) 377-7920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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