Danny Joseph Comchomnon, FNP
Nurse Practitioner, Family in Addison, IL. Individual provider (NPI-1).
NPI number1003677063
StatusActive
Last updated in NPPESJan 17, 2024
Details
- NPI
- 1003677063
- Entity type
- Individual (NPI-1)
- Name
- Danny Joseph Comchomnon
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2024
- Certification date
- Jan 17, 2024
- Last updated
- Jan 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209.028856 | IL | Yes |
Practice location
350 W North AveAddison, IL 60101-4911
Phone 708-769-9685
Mailing address
350 W North AveAddison, IL 60101-4911
Phone 708-769-9685
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