Individual
MRS. CRISCIEL HIDALGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 ELISHA AVE, ZION, IL 60099-2676
(800) 322-9183
Mailing address
1216 BEVERLY DR, LAKE VILLA, IL 60046-6408
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012282
IL
Other
Enumeration date
12/25/2014
Last updated
12/25/2014
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