MARY WATERLOO

Nurse Practitioner

Active Individual
NPI: 1720634827

Practice Address

17901 GOVERNORS HWY STE 206
Homewood, IL 60430

Phone: (708) 960-4280

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X Yes 209019819 (IL)

Frequently Asked Questions

NPI 1720634827 is the National Provider Identifier for MARY WATERLOO, a Nurse Practitioner provider located in Homewood, IL. This NPI was enumerated on August 14, 2019.
MARY WATERLOO practices at 17901 GOVERNORS HWY STE 206, Homewood, IL 60430.

Quick Facts

NPI
1720634827
Type
Individual
Enumerated
Aug 14, 2019
Last Updated
Nov 11, 2021

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