Individual
FAYLENE SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6447 CERMAK RD, BERWYN, IL 60402-2311
(773) 254-1400
Mailing address
966 W 21ST ST, CHICAGO, IL 60608-4511
(773) 254-1400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209017489
IL
Other
Enumeration date
06/19/2018
Last updated
08/26/2021
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