Individual
MS. ATEFEH DJAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-1000
Mailing address
367 W LOCUST ST UNIT 509, CHICAGO, IL 60610-3041
(224) 848-2548
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209020285
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209020285
IL
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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