Individual
MRS. CINDY CHAFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
135 W BROADWAY ST, ASTORIA, IL 61501
(309) 329-2926
(309) 329-2656
Mailing address
135 W BROADWAY ST, ASTORIA, IL 61501
(309) 329-2926
(309) 329-2656
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277000356
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041285438
REGISTERED PROF NURSE
IL
01
—
209002741
LIC. ADVANCE P N
IL
Enumeration date
05/30/2006
Last updated
11/09/2020
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