Whalio Doctors

NPI 1013365360

Larry James Maturin, RNAPNACNSBC

Practitioner Clinical Nurse Specialist Chicago, IL

Practice location

Address
990 W Fullerton Ave, Chicago, IL 60614-2458
Phone
(815) 603-6212
Mailing address
3704 Harms Rd, Joliet, IL 60435-9046

Registered specialties (3)

Clinical Nurse Specialist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364S00000X Licence 209.010006 (IL)
Emergency Registered Nurse
Nursing Service Providers Taxonomy 163WE0003X Licence 041.323524 (IL)
Adult Health Clinical Nurse Specialist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SA2200X Licence 209.010006 (IL)

Registry record

NPI
1013365360
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 May 2016
Record last updated
27 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.