Doctor Name: | LAURA MAKEEVER |
NPI Number: | 1043564065 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 209-008490 |
Business Practice Address: | 2100 Sanders Rd Suite 100 Northbrook, IL - 600626139 |
Business Phone Number: | 8472727338 |
Business Fax Number: | 8472727380 |
Mailing Address: | 693 Snow Cap Ct, GURNEE |
State: | IL |
Postal Code: | 600315659 |
Phone Number: | 8472540471 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2012 |
NPI Last Update Date: | 11/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 209-008490 |
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: |