NPI 1104215573

Laura Booker

Practitioner Nursing Home Administrator Homer Glen, IL

Practice location

Address: 12525 Renaissance Cir, Homer Glen, IL 60491-5896
Phone: (708) 590-5050

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X

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Registry record

NPI: 1104215573
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jan 2015
Record last updated: 22 Jan 2015

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.