Individual
PATRICIA LUEVANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1447 N WOOD ST, CHICAGO, IL 60622-2533
(708) 205-2012
Mailing address
870 S COLORADO BLVD # 1046, GLENDALE, CO 80246-2080
(708) 205-2012
(773) 915-0593
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209020341
IL
Other
Enumeration date
10/31/2019
Last updated
04/25/2024
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