Individual
FATIMA ROSE ENRIQUEZ MACALAGUIN-BARADI
Active
Individual
FATIMA ROSE ENRIQUEZ MACALAGUIN-BARADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041428342
IL
207Q00000X
Family Medicine Physician
209020584
IL
363LF0000X
Family Nurse Practitioner
Primary
209020584
IL
Other
Enumeration date
01/08/2020
Last updated
10/09/2024
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