Individual
IRMA CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
966 W 21ST ST, CHICAGO, IL 60608-4511
(773) 254-1400
Mailing address
966 W 21ST ST, CHICAGO, IL 60608-4511
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209021180
IL
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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