Individual
ILSE GABRIELA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3303 W 26TH ST, CHICAGO, IL 60623-4036
(773) 277-6589
Mailing address
11103 W COVE CIR UNIT 3B, PALOS HILLS, IL 60465-3161
(708) 663-3493
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.019042
IL
Other
Enumeration date
03/16/2019
Last updated
03/16/2019
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