Individual
AIDA IRIS BAHENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 BOW STRING CT, CAROL STREAM, IL 60188-9046
(773) 251-0091
Mailing address
1401 BOW STRING CT, CAROL STREAM, IL 60188-9046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.394551
IL
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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