Individual
HABIBA P BRACERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1357 W 103RD ST, CHICAGO, IL 60643-2392
(773) 238-0800
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.017067
IL
Other
Enumeration date
05/14/2018
Last updated
03/06/2023
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