Individual
TOMAS TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5730 W ROOSEVELT RD, CHICAGO, IL 60644-1580
(773) 413-1700
Mailing address
8053 KEYSTONE AVE, SKOKIE, IL 60076-3441
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209020712
IL
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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