Justin Conrad Koerner, APRN, CNP
Nurse Practitioner in Lake Forest, IL. Individual provider (NPI-1).
NPI number1245095751
StatusActive
Last updated in NPPESMar 22, 2024
Details
- NPI
- 1245095751
- Entity type
- Individual (NPI-1)
- Name
- Justin Conrad Koerner
- Credential
- APRN, CNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2024
- Certification date
- Mar 22, 2024
- Last updated
- Mar 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209029414 | IL | Yes |
Practice location
1000 N Westmoreland Rd # Level1Lake Forest, IL 60045-1658
Phone 847-534-3278 · Fax 847-535-8590
Mailing address
1000 N Westmoreland Rd # Level1Lake Forest, IL 60045-1658
Phone 847-534-3278 · Fax 847-535-8590
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