Individual
MS. CYNTHIA CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
7715 N HERMITAGE AVE, CHICAGO, IL 60626-1033
(630) 649-0636
Mailing address
7715 N HERMITAGE AVE, CHICAGO, IL 60626-1033
(630) 649-0636
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.014818
IL
363LF0000X
Family Nurse Practitioner
209014818
IL
Other
Enumeration date
04/17/2017
Last updated
03/17/2018
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