Individual
ANGELIQUE ESCANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADN
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 878-8700
Mailing address
1802 N TAFT AVE APT 1A, BERKELEY, IL 60163-1558
(773) 691-9625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041409996
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U5664052901
CIGNA HEALTH AND LIFE INSURANCE CO.
IL
Enumeration date
08/28/2016
Last updated
08/28/2016
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