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Individual

NATHAN CORDERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
2732 N HAMPDEN CT, CHICAGO, IL 60614-1612
(773) 248-6000
Mailing address
5531 N CAMPBELL AVE, CHICAGO, IL 60625-2369
(630) 915-8176

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041408157
IL
363L00000X
Nurse Practitioner
Primary
209022072
IL

Other

Enumeration date
12/03/2020
Last updated
12/03/2020
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