Individual
JOVANY OMAR PALACIOS-ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
1234 VALLEY LAKE DR APT 345, SCHAUMBURG, IL 60195-3625
(224) 400-2715
Mailing address
1234 VALLEY LAKE DR APT 345, SCHAUMBURG, IL 60195-3625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041495685
IL
363LF0000X
Family Nurse Practitioner
Primary
209032413
IL
Other
Enumeration date
02/13/2025
Last updated
05/22/2025
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