Individual
DAISY LAUREANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2355 S WESTERN AVE, CHICAGO, IL 60608-3837
(773) 254-1400
Mailing address
7019 29TH PL, BERWYN, IL 60402-2941
(708) 856-7187
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.028502
IL
Other
Enumeration date
11/28/2023
Last updated
07/01/2025
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