JUDITH MONGOUM PENE

CRYSTAL LAKE, IL
NPI1134767759
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.020328)
Enumeration Date2019-12-13
Last Update Date2023-05-31
Business Address
JUDITH MONGOUM PENE FNP
1305 RANDALL RD
CRYSTAL LAKE, IL 60014-8601
Phone number: 815-386-0386
Mailing Address
JUDITH MONGOUM PENE FNP
1305 RANDALL RD
CRYSTAL LAKE, IL 60014-8601
Phone number: 815-356-0386