Individual
ANA MARLENY TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(631) 747-2145
Mailing address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209015362
IL
Other
Enumeration date
06/12/2017
Last updated
07/03/2024
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