Individual
LISSETTE SULEIGA CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
556 MARYLAND, CHICAGO, IL 60637
(773) 702-1220
Mailing address
8006 TAPPER AVE, MUNSTER, IN 46321-1313
(773) 653-8457
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209032084
IL
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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