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Individual

TATIANA VITALIA BUONICORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-FPA

Contact information

Practice address
5635 STATE RD, BURBANK, IL 60459-2051
(708) 424-9200
Mailing address
5635 STATE RD, BURBANK, IL 60459-2051
(708) 424-9200

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277001003
IL
363LF0000X
Family Nurse Practitioner
277001003
IL

Other

Enumeration date
02/09/2016
Last updated
03/24/2025
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