Individual
NANCY CHAIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5517 N KENMORE AVE., CHICAGO, IL 60640
(714) 333-7628
Mailing address
5517 N KENMORE AVE., CHICAGO, IL 60640
(714) 333-7628
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043118930
IL
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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