Individual
GIAVONNA MARIE LINDSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 664-3278
(312) 695-5774
Mailing address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 664-3278
(312) 695-5774
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209015252
IL
363LF0000X
Family Nurse Practitioner
209.015252
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400412356
MEDICARE PIN
IL
Enumeration date
04/20/2017
Last updated
10/26/2021
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