Individual
IDALIA ALAVEZ PINTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
20 S COUNTY ST, WAUKEGAN, IL 60085-5504
(847) 377-4408
Mailing address
3104 VICKIE LN, NORTH CHICAGO, IL 60064-1533
(847) 331-6079
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209029386
IL
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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