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NPI Code Detail

MEDICARE: MRS. EILEEN E FINERAN NURSE PRACTITIONER

MEDICARE: MRS. EILEEN E FINERAN NURSE PRACTITIONER
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
1363LF0000XFamily Nurse Practitioner209004279IL

General Provider Information

NPI Number : 1245315217
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EILEEN E FINERAN NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 4700 W 95TH ST
Second Line : SUITE 104 OAK LAWN VETERANS CLINIC
City : OAK LAWN
State : IL
Zip : 60453-2533
Country : US
Telephone Number : 708-499-3675
Fax Number : 708-499-3715
Provider Business Practice Location Address
First Line : 3700 W 103RD ST
Second Line : SAINT XAVIER UNIVERSITY HEALTH CENTER
City : CHICAGO
State : IL
Zip : 60655-3105
Country : US
Telephone Number : 773-298-3712
Fax Number : 773-298-3906
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. EILEEN E FINERAN NURSE PRACTITIONER” Practice Location

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