Individual
MYRAFEL MACEDA ISIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-7553
(224) 610-7568
Mailing address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-7553
(224) 610-7568
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
041348216
IL
163WP2201X
Ambulatory Care Registered Nurse
Primary
041348216
IL
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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