IndividualActive
Andrilyn Nededog, NP
NPI 1952811366 · Gerontology Nurse Practitioner · Lake Villa, IL
Provider details
- NPI number
- 1952811366
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209.016674 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
308 Appleton Ln
Lake Villa, IL 60046-6405
Phone: (224) 330-7751
Approximate (ZIP-level) locationGet directions
Mailing address
308 Appleton Ln
Lake Villa, IL 60046-6405
Registry dates
- Enumerated
- 2017-10-11
- Last updated
- 2017-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.