Individual
CODY CHOLEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN, CNP
Contact information
Practice address
12255 S 80TH AVE STE 204, PALOS HEIGHTS, IL 60463-1284
(708) 923-4400
(708) 923-4421
Mailing address
12255 S 80TH AVE STE 204, PALOS HEIGHTS, IL 60463-1284
(708) 923-4400
(708) 923-4421
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209012643
IL
363LA2100X
Acute Care Nurse Practitioner
209.012643
IL
Other
Enumeration date
04/03/2015
Last updated
12/01/2021
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