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Search › Illinois › 225100000X

Ma Janet Memorando

NPI 1154859908 · on the registry since 2017 · sole proprietor

Practice

Address
1311 Parkview Ave
Rockford, IL 61107
Phone
(815) 329-1126
Organisation at this address
Pa Peterson Llc
Pa Peterson At The Citadel Llc
Lutheran Social Services Of Illinois
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-05-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois