Nurceski, Diane
Nurceski, Diane is an individual health care provider with primary practice located at 5101 Willow Springs Rd , La Grange IL 60525-2600. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Nurceski, Diane can be contacted via phone (708) 245-4073.Contact Information
Primary practice address
5101 Willow Springs Rd
La Grange IL 60525-2600
Phone: (708) 245-4073
Fax: (708) 245-5614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 209-005875 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209005875 | Illinois |
Profile Details
| NPI number | 1023125952 |
|---|---|
| LBN Legal business name | Nurceski, Diane |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Mar 21st, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023125952 | NPPES |
| Illinois | Other | 209-005875 | APN LICENSE |
| Illinois | Other | 364138353 | APN LICENSE |
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