Doctor Name: | BARBARA ANTOL-DLUGOPOLSKI |
NPI Number: | 1437576642 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 209011254 |
Business Practice Address: | 901 Singer Ave Lemont, IL - 604393928 |
Business Phone Number: | 7087246063 |
Business Fax Number: | 8668993719 |
Mailing Address: | 901 Singer Ave, LEMONT |
State: | IL |
Postal Code: | 604393928 |
Phone Number: | 7087246063 |
Fax Number: | 8668993719 |
NPI Enumeration Date: | 03/25/2014 |
NPI Last Update Date: | 03/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209011254 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |