Individual
HAZEL H ALMORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
800 AUSTIN ST, EAST TOWER, STE 360, EVANSTON, IL 60202
(847) 316-2635
(847) 316-2634
Mailing address
2601 NAVISTAR DR, LISLE, IL 60532-3661
(224) 273-3381
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209017301
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209017301
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041280583
PROFESSIONAL REGISTERED NURSE
IL
01
—
209017301
ADVANCED PRACTICE NURSE LICENSE
IL
Enumeration date
04/14/2018
Last updated
08/19/2024
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