Individual
RACHEAL ANN FELIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2615 W 106TH PL, CHICAGO, IL 60655-1701
(708) 220-4375
Mailing address
2615 W 106TH PL, CHICAGO, IL 60655-1701
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209022983
IL
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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