Individual
LOREDANA TATIANA DEICHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
371 W NORTHWEST HWY, PALATINE, IL 60067-2414
(847) 443-5588
Mailing address
2003 W FULTON ST STE 303, CHICAGO, IL 60612-2345
(312) 243-2223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209022170
IL
Other
Enumeration date
03/17/2021
Last updated
10/18/2022
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