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NPI Code Detail

MEDICARE: MRS. JUDY LAU CARINO MSN,ANP,PMHNP,APRN

MEDICARE: MRS. JUDY LAU CARINO MSN,ANP,PMHNP,APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner209004954IL
2363LA2200XAdult Health Nurse Practitioner209004954IL

General Provider Information

NPI Number : 1073846440
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JUDY LAU CARINO MSN,ANP,PMHNP,APRN
Provider Business Mailing Address
First Line : 210 N HAMMES AVE STE 205
Second Line :
City : JOLIET
State : IL
Zip : 60435-8139
Country : US
Telephone Number : 815-729-7790
Fax Number : 815-725-8144
Provider Business Practice Location Address
First Line : 210 N HAMMES AVE STE 205
Second Line :
City : JOLIET
State : IL
Zip : 60435-8139
Country : US
Telephone Number : 815-729-7790
Fax Number : 815-725-8144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2009
Last Update Date : 04/08/2026

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