Individual
MRS. AGNES CALLAO VIRATA-DELGADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4321 NORTH SAWYER AVE, CHICAGO, IL 60618-1211
(773) 905-3139
Mailing address
4321 NORTH SAWYER AVE, CHICAGO, IL 60618-1211
(773) 905-3139
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
770976
CA
163WP2201X
Ambulatory Care Registered Nurse
770976
CA
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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