Individual
MISS THERESA MANRIQUEZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
553 MCHENRY RD, WHEELING, IL 60090-9237
(847) 808-6215
(847) 808-6210
Mailing address
553 MCHENRY RD, WHEELING, IL 60090-9237
(847) 808-6215
(847) 808-6210
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
043.114162
IL
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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