Individual
DANIELA VALERIA BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
601 W GOLF RD STE 105, MOUNT PROSPECT, IL 60056-4276
(847) 439-8780
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 575-5000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209022254
IL
Other
Enumeration date
10/19/2020
Last updated
12/16/2021
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