Individual
CARINA VIRGINIA BAIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2216 20TH ST, ZION, IL 60099-1648
(224) 944-3460
Mailing address
667 FERNDALE ST, GURNEE, IL 60031-2832
(224) 944-3460
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041454799
IL
Other
Enumeration date
03/13/2019
Last updated
06/11/2019
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