Individual
MS. CLAIRE BALUYOT MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
8741 S GREENWOOD AVE STE 106-108, CHICAGO, IL 60619-7061
(773) 920-2755
Mailing address
523 HARRIS CT, BUFFALO GROVE, IL 60089-1676
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209025994
IL
Other
Enumeration date
09/19/2022
Last updated
04/03/2025
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