Individual
MARIA ANGELA THEA ENGRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 S RIVER RD STE 142, DES PLAINES, IL 60018-4119
(224) 524-1675
(224) 298-0670
Mailing address
2720 S RIVER RD STE 142, DES PLAINES, IL 60018-4119
(224) 524-1675
(224) 298-0670
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
041387134
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209031173
IL
Other
Enumeration date
11/13/2024
Last updated
12/28/2025
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