MEDICARE: HEAL N CURE

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
1	363LF0000X	Family Nurse Practitioner	209.011230	IL

General Provider Information

NPI Number	:	1730559626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAL N CURE

Provider Business Mailing Address
First Line	:	1122 WILLOW RD
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-6824
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1122 WILLOW RD
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-6824
Country	:	US
Telephone Number	:	847-686-4444
Fax Number	:

Authorized Official
Title or Position	:	FAMILY NURSE PRACTITIONER
Name	:	RUVINI DE VAS GUNAWARDHANE
Credential	:	ANP FNP-BC
Telephone Number	:	847-686-4444

Provider Enumeration Date	:	10/05/2015
Last Update Date	:	10/05/2015

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Directions to “HEAL N CURE ” Practice Location

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