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Individual

MISS MAIRA OCHOA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 596-5177
(708) 596-5518
Mailing address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 596-5177
(708) 589-2086

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.017480
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209.017480
ADVANCED PRACTICE NURSE LICENSE
IL
Enumeration date
04/18/2018
Last updated
07/18/2024
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