Individual
LEA FOY OS CAPILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3943 W 31ST ST, CHICAGO, IL 60623-4936
(773) 523-8773
Mailing address
5252 N GLENWOOD AVE APT H2, CHICAGO, IL 60640-2236
(210) 929-0147
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.026636
IL
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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