Individual
BRENDA PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4840 W BYRON ST, CHICAGO, IL 60641-2778
(773) 282-7800
(772) 283-0391
Mailing address
5746 N ROCKWELL ST APT 2, CHICAGO, IL 60659-0469
(773) 366-2458
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
041463225
IL
Other
Enumeration date
04/07/2020
Last updated
08/20/2020
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