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Individual

ELAINA MAY BARRAZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
1203 W AUGUSTA BLVD UNIT 1, CHICAGO, IL 60642-4327
(773) 248-2255
Mailing address
1936 S AUSTIN BLVD, CICERO, IL 60804-1656
(213) 235-8545

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
209023289
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209023289
IL

Other

Enumeration date
06/01/2021
Last updated
08/27/2021
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