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Individual

MR. LUIS R FLORES I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN,CDE

Contact information

Practice address
2233 W DIVISION ST, CHICAGO, IL 60622-8151
(312) 770-2235
Mailing address
272 ADDISON RD, RIVERSIDE, IL 60546-2039

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
041290690
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01021969
IL
01
041290690
RN,CDE
IL
01
041290690
NOT A MEDICARE PROVIDER
05
041290690
IL
Enumeration date
10/13/2017
Last updated
05/11/2026
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