Individual
MARGARITA AZUCENA AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
2104 S 47TH CT, CICERO, IL 60804-2558
(708) 834-8040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.028982
IL
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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