Individual
DEBBIE CHAGOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5133 W WILSON AVE, CHICAGO, IL 60630-3905
(773) 971-8675
Mailing address
5133 W WILSON AVE, CHICAGO, IL 60630-3905
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209019817
IL
363LF0000X
Family Nurse Practitioner
Primary
209019817041359232
IL
Other
Enumeration date
11/23/2020
Last updated
12/04/2020
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