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Mr. Jeffrey Dan Intud
Family Nurse Practitioner in Homewood, Illinois
NPI 1205464187

Jeffrey Dan Intud is a Family Nurse Practitioner based in Homewood, IL and is specialized in Family. Jeffrey Dan Intud practices in Homewood, IL. The NPI Number for Jeffrey Dan Intud is 1205464187 and holds a License No. 209.020983 (Illinois).

The current practice location address for Jeffrey Dan Intud is 17901 Governors Hwy Ste 206, Homewood, IL and can be reached out via phone at 708-960-4280.

Location: 17901 Governors Hwy Ste 206, Homewood, IL, 60430-1146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205464187
Provider Name
Jeffrey Dan Intud
Credential
Provider Entity Type
Individual
Gender
Male
Address
17901 Governors Hwy Ste 206, Homewood, IL, 60430-1146
Phone Number
708-960-4280
Fax Number
Provider Enumeration Date
03/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17901 Governors Hwy Ste 206
City
Homewood
State
Illinois
Zip
60430-1146
Phone Number
708-960-4280
Fax Number
person
Provider Business Mailing Address Details
Address
17901 Governors Hwy Ste 206
City
Homewood
State
Illinois
Zip
60430-1146
Phone Number
708-960-4280
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.020983 (Illinois)
Definition
Definition to come...
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