Doctor Name: | ANITRA KEMP-MAJOR |
NPI Number: | 1306248646 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP-C |
License Number: | 209011553 |
Business Practice Address: | 3235 Vollmer Rd Suite 200 Flossmoor, IL - 604222013 |
Business Phone Number: | 7084652209 |
Business Fax Number: | |
Mailing Address: | 3235 Vollmer Rd, Suite 200 FLOSSMOOR |
State: | IL |
Postal Code: | 604222013 |
Phone Number: | 7084652209 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2014 |
NPI Last Update Date: | 09/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209011553 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |