Individual
MARIA LUZ CHATTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1170 BAY DR, DIXON, IL 61021-7701
(815) 441-3214
Mailing address
1170 BAY DR, DIXON, IL 61021-7701
(815) 441-3214
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
041331252
IL
363LF0000X
Family Nurse Practitioner
Primary
209025358
IL
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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