Individual
IXCHELL YANET ORTIZ ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2020 W HARRISON ST, CHICAGO, IL 60612-3741
(773) 572-4596
Mailing address
5607 S CHRISTIANA AVE, CHICAGO, IL 60629-3105
(773) 817-6969
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209015942
IL
Other
Enumeration date
07/05/2017
Last updated
04/28/2021
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