Individual
NANCY OLIVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2608 N MOODY AVE, CHICAGO, IL 60639-1024
(773) 412-2997
Mailing address
2608 N MOODY AVE, CHICAGO, IL 60639-1024
(773) 412-2997
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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