Individual
LISA NICOLE URIBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
14620 S LA GRANGE RD STE 2, ORLAND PARK, IL 60462-2581
(630) 312-9282
(630) 618-3977
Mailing address
14620 S LA GRANGE RD STE 2, ORLAND PARK, IL 60462-2581
(630) 312-9282
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.017612
IL
363LF0000X
Family Nurse Practitioner
Primary
277.000839
IL
Other
Enumeration date
06/20/2018
Last updated
03/06/2024
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