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Search › Illinois › 367500000X

Landon Mouritsen

NPI 1720592595 · on the registry since 2017

Practice

Address
100 E Le Fevre Rd
Sterling, IL 61081
Phone
(815) 625-0400
Organisation at this address
Cgh Medical Center
Cgh Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
163W00000X
Licence states on file
IL, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-05-14

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