Doctor Name: | DIANE NURCESKI |
NPI Number: | 1023125952 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | |
Business Practice Address: | 5101 Willow Springs Rd La Grange, IL - 605252600 |
Business Phone Number: | 7082454073 |
Business Fax Number: | 7082455614 |
Mailing Address: | 911 N Elm St, Ste 215 HINSDALE |
State: | IL |
Postal Code: | 605213634 |
Phone Number: | 6308566865 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |