Individual
MRS. MARIA NATIVIDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN,CDE
Contact information
Practice address
15300 WEST AVE, ORLAND PARK, IL 60462-4600
(708) 403-8400
(708) 403-8492
Mailing address
15300 WEST AVE, ORLAND PARK, IL 60462-4600
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
041.245319
IL
Other
Enumeration date
09/28/2011
Last updated
03/27/2014
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