Presence St. Mary Hospital

NPI #1952748071 in Kankakee, Illinois

Provider Information

NPI Number
1952748071
Entity Type
Organization
Organization Name
Presence St. Mary Hospital
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
May 30, 2013
Last Updated
May 30, 2013

Practice Location

Address
500 W COURT ST
ZIP Code
60901-3661
Phone
(815) 937-2200

Authorized Official

Name
MELVONNE JONES
Title
MGR, CREDENTIALING
Phone
(630) 914-2417

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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