Doctor Name: | NANCY M MCDERMOTT |
NPI Number: | 1952522534 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | |
Business Practice Address: | 3722 S. Harlem Ave. Ste 202 Ll North Riverside, IL - 60546 |
Business Phone Number: | 7087837840 |
Business Fax Number: | |
Mailing Address: | 2368 Paysphere Cirlce, CHICAGO |
State: | IL |
Postal Code: | 60674 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 10/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |