JOLENE T MAASS APN
NPI 1134566425
Nurse Practitioner - Family in Kankakee, IL
Active since May 28, 2013
About Jolene T Maass Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOLENE T MAASS APN (NPI 1134566425) is an individual family provider in Kankakee, Illinois, licensed in Illinois (209010356) and active in the NPI registry since May 2013.
NPPES Registry Identity
NPI1134566425
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOLENE T MAASSCredential: APN
Location Address500 W COURT STKankakee, IL 60901-3661
Mailing Address1000 Remington Blvd, Suite 100Bolingbrook, IL 60440-5114 · (630) 914-2417 · Fax (630) 914-2499
Phone(815) 937-2200
Fax(815) 937-2258
Sole ProprietorNo
Enumeration DateMay 28, 2013
✔ NPI 1134566425 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209010356
500 W COURT ST, Kankakee, IL 60901
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134566425, enumerated as an "individual" on May 28, 2013.
The provider is located at 500 W COURT ST KANKAKEE, IL 60901 and the phone number is (815) 937-2200.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.