Provider Demographics
NPI:1811277643
Name:ARROYO, GERRY J (FNP)
Entity type:Individual
Prefix:
First Name:GERRY
Middle Name:J
Last Name:ARROYO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:GERRY
Other - Middle Name:J
Other - Last Name:PHELPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1901 E VOORHEES ST
Mailing Address - Street 2:TAKE CARE HEALTH ILLINOIS PC
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61834-4509
Mailing Address - Country:US
Mailing Address - Phone:773-742-7045
Mailing Address - Fax:
Practice Address - Street 1:101 LILY CACHE LN
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-4895
Practice Address - Country:US
Practice Address - Phone:331-803-6040
Practice Address - Fax:630-759-2950
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.008998363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily