Individual
FRANCISCO ACEVEDO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
21202 OWENS RD STE 101, MOKENA, IL 60448-2038
(779) 334-0030
(779) 334-0031
Mailing address
21202 OWENS RD STE 101, MOKENA, IL 60448-2038
(779) 334-0030
(779) 334-0031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277001115
IL
363L00000X
Nurse Practitioner
71001336A
IN
363LF0000X
Family Nurse Practitioner
209-004145
IL
363LF0000X
Family Nurse Practitioner
71001336A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467446930
BLUECROSS/BLUESHIELD OF INDIANA
—
05
—
200183680
—
IN
Enumeration date
09/09/2005
Last updated
05/22/2024
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