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Individual

LARISSA CHAIDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
121 ROBERT P WEIDLING DR, WILMINGTON, IL 60481-1679
(815) 726-2200
Mailing address
2025 S CHICAGO ST, JOLIET, IL 60436-3172
(815) 726-2200

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209033243
IL

Other

Enumeration date
12/16/2025
Last updated
02/05/2026
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