Healthcare Provider Details

I. General information

NPI: 1891342796
Provider Name (Legal Business Name): ROSEMARY UY-PALMER APRN-FPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2019
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 W LAKE ST STE 202
ADDISON IL
60101-2035
US

IV. Provider business mailing address

721 W LAKE ST
ADDISON IL
60101-2035
US

V. Phone/Fax

Practice location:
  • Phone: 620-600-0300
  • Fax: 630-895-9892
Mailing address:
  • Phone: 630-600-0300
  • Fax: 630-895-9892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277003694
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: