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NPI Code Detail

MEDICARE: LAURA HUDSON FNP-BC

MEDICARE: LAURA HUDSON FNP-BC
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 Practitioner209012084IL

General Provider Information

NPI Number : 1730584368
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA HUDSON FNP-BC
Provider Business Mailing Address
First Line : 1099 W ARMY TRAIL RD
Second Line :
City : BARTLETT
State : IL
Zip : 60103-3001
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 3637 N SOUTHPORT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613-3709
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2014
Last Update Date : 10/29/2021

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Directions to “ LAURA HUDSON FNP-BC” Practice Location

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