institution
Quality Life Providers Llc
Psychiatric/Mental Health Nurse Practitioner in Brookfield, Illinois
NPI 1538460670

Quality Life Providers Llc is a Psychiatric/Mental Health Nurse Practitioner based in Brookfield, IL and is specialized in Psychiatric/Mental Health. Quality Life Providers Llc practices in Brookfield, IL. The NPI Number for Quality Life Providers Llc is 1538460670 and holds a License No. 209002055 (Illinois).

The current practice location address for Quality Life Providers Llc is 4166 Blanchan Ave, Brookfield, IL and can be reached out via phone at 847-980-6325 and via fax at 708-387-2348.

Location: 4166 Blanchan Ave, Brookfield, IL, 60513-1802
institution
Provider Profile Details
NPI Number
1538460670
Provider Name
Quality Life Providers Llc
Credential
Provider Entity Type
Organization
Address
4166 Blanchan Ave, Brookfield, IL, 60513-1802
Phone Number
847-980-6325
Fax Number
708-387-2348
Provider Enumeration Date
11/05/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P52930 05 IL
institution
Provider Business Practice Location Address Details
Address
4166 Blanchan Ave
City
State
Zip
60513-1802
Phone Number
847-980-6325
Fax Number
708-387-2348
person
Provider Business Mailing Address Details
Address
4166 Blanchan Ave
City
State
Zip
60513-1802
Phone Number
847-980-6325
Fax Number
708-387-2348
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
209002055 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
209002055 (Illinois)
Definition
Definition to come...
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