Individual
YOAND URQUIA MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
917 W EASTWOOD AVE APT 605, CHICAGO, IL 60640-6603
(312) 678-5193
Mailing address
917 W EASTWOOD AVE APT 605, CHICAGO, IL 60640-6603
(312) 678-5193
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209.022950
IL
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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