January Ayson Imbuido NURSE PRACTITIONER

NPI # 

Practice Address:

2405 Big Woods Dr

Batavia, IL, 60510-7650

Practice Phone:

630-277-9651

Practice Fax:

847-972-6265

License Number:

209.030460

License State:

IL

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Gerontology

Taxonomy Code:

363LG0600X