Individual provider · NPI-1

Hiba Almadadha, RN, FNP-BC

Nurse Practitioner, Family · Mokena, IL

NPI number1144565458
StatusActive
Last updated in NPPESDec 27, 2019

Details

NPI
1144565458
Entity type
Individual (NPI-1)
Name
Hiba Almadadha
Credential
RN, FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Nov 28, 2012
Certification date
Dec 27, 2019
Last updated
Dec 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family209.009994ILYes

Practice location

11200 Lincoln Hwy
Mokena, IL 60448-8208

Phone 630-788-3643

Mailing address

11200 Lincoln Hwy
Mokena, IL 60448-8208

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