Justin Alan Illum
Nurse Practitioner
971 E Creekhill Ln Apt 10, Midvale
Utah, 84047-2365
417-693-3850
Justin Alan Illum is a Midvale, Utah based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Justin Alan Illum is 10386297-4405 for Family in Utah. His current practice location is 971 E Creekhill Ln Apt 10, Midvale. Patients can reach him at 417-693-3850 with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1265174452.
Justin Alan Illum has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Justin Alan Illum speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Justin Alan Illum |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Male |
| Practice Address: | 971 E Creekhill Ln Apt 10, Midvale,
Utah, 84047-2365 |
| Phone: | 417-693-3850 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1265174452 |
| NPI Enumeration Date: | 08 Apr, 2022 |
| NPI Last Update On: | 08 Dec, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Justin Alan Illum are as mentioned below.
| License Number | Specialization | State | Status | |
| 10386297-4405 | Family | Utah | Primary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Justin Alan Illum
971 E Creekhill Ln Apt 10,
Midvale, Utah |
| Zip: | 84047-2365 |
| Phone Number: | 417-693-3850 |
Patients can reach Justin Alan Illum at
971 E Creekhill Ln Apt 10, Midvale, Utah or can
call to book an appointment on 417-693-3850.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.