Individual
ELLA CECILIA HERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6821 S HALSTED ST, CHICAGO, IL 60621-1833
(773) 651-3629
Mailing address
6821 S HALSTED ST, CHICAGO, IL 60621-1833
(773) 651-3629
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209.012808
IL
Other
Enumeration date
06/15/2015
Last updated
07/02/2015
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