Individual
MS. LENA RUBY CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
5321 W WINNEMAC AVE, CHICAGO, IL 60630-2219
(773) 412-1843
Mailing address
5321 W WINNEMAC AVE, CHICAGO, IL 60630-2219
(773) 412-1843
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.032824
IL
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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