person
Mary Komperda, APN
Adult Health Nurse Practitioner in Melrose Park, Illinois
NPI 1881640902

Mary Komperda is an Adult Health Nurse Practitioner based in Melrose Park, IL and is specialized in Adult Health. Mary Komperda practices in Melrose Park, IL and has the professional credentials of APN. The NPI Number for Mary Komperda is 1881640902 and holds a License No. 209-004003 (Illinois).

The current practice location address for Mary Komperda is 675 W North Ave, Melrose Park, IL and can be reached out via phone at 708-450-5094 and via fax at 708-344-0508.

Location: 675 W North Ave, Melrose Park, IL, 60160-1634
person
Provider Profile Details
NPI Number
1881640902
Provider Name
Mary Komperda
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
675 W North Ave, Melrose Park, IL, 60160-1634
Phone Number
708-450-5094
Fax Number
708-344-0508
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209712 01 IL MEDICARE GROUP NUMBER
31602469 01 IL BLUE CROSS BLUE SHIELD GROUP PROVIDER NUMBER
P00236752 01 IL RAILROAD MEDICARE INDIVIDUAL PROVIDER ID
1164530713 01 IL CONSULTANTS IN CARDIOVASCULAR MEDICINE, S.C. GROUP NPI NUMBER
961280 01 IL MEDICARE GROUP NUMBER
CC1592 01 IL RAILROAD MEDICARE GROUP PTAN NUMBER
K18549 01 IL MEDICARE INDIVIDUAL PTAN NUMBER
institution
Provider Business Practice Location Address Details
Address
675 W North Ave
City
State
Zip
60160-1634
Phone Number
708-450-5094
Fax Number
708-344-0508
person
Provider Business Mailing Address Details
Address
675 W North Ave
City
State
Zip
60160-1634
Phone Number
708-450-5094
Fax Number
708-344-0508
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
209-004003 (Illinois)
Definition
Definition to come...
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