| Doctor Name: | JOLENE T MAASS |
| NPI Number: | 1134566425 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 209010356 |
| Business Practice Address: | 500 W Court St Kankakee, IL - 609013661 |
| Business Phone Number: | 8159372200 |
| Business Fax Number: | 8159372258 |
| Mailing Address: | 1000 Remington Blvd, Suite 100 BOLINGBROOK |
| State: | IL |
| Postal Code: | 604405114 |
| Phone Number: | 6309142417 |
| Fax Number: | 6309142499 |
| NPI Enumeration Date: | 05/28/2013 |
| NPI Last Update Date: | 05/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209010356 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |