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1306155072
NANCY RENEE PROKUP
CRYSTAL LAKE, IL
NPI
1306155072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IL 209008330)
Enumeration Date
2010-09-29
Last Update Date
2019-03-18
Business Address
NANCY RENEE PROKUP CNP
360 STATION DR
CRYSTAL LAKE, IL 60014
Phone number: 815-338-6600
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Mailing Address
NANCY RENEE PROKUP CNP
360 STATION DR
CRYSTAL LAKE, IL 60014-7978
Phone number: 815-338-6600
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