Doctor Name: | MRS. JODI L STRAUCH |
NPI Number: | 1063743565 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 209.007528 |
Business Practice Address: | 400 S Marathon Ave Robinson, IL - 624543400 |
Business Phone Number: | 6185442121 |
Business Fax Number: | 6185447565 |
Mailing Address: | 400 S Marathon Ave, ROBINSON |
State: | IL |
Postal Code: | 624543400 |
Phone Number: | 6185442121 |
Fax Number: | 6185447565 |
NPI Enumeration Date: | 01/22/2010 |
NPI Last Update Date: | 01/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209.007528 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |