Individual
RAQUEL TADALAN BRILLANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
60 ORLAND SQUARE DR, ORLAND PARK, IL 60462-6548
(708) 226-9055
Mailing address
60 ORLAND SQUARE DR, ORLAND PARK, IL 60462-6548
(708) 226-9055
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209000444
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209-000444
CNP LICENSE #
IL
05
—
209000444
—
IL
01
—
309000581
CONTROLLED SUBSTANCE
IL
Enumeration date
08/05/2006
Last updated
03/07/2023
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