Individual
AURORA TAMAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3520 S ASHLAND AVE, CHICAGO, IL 60609-1317
(773) 523-3400
Mailing address
4835 W 121ST ST, ALSIP, IL 60803-2801
(773) 629-2335
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043115862
IL
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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