Individual
DESIREE MICHELLE PROVAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5145 N CALIFORNIA AVE STE 331, CHICAGO, IL 60625-3661
(847) 570-1027
(773) 989-1734
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 982-6715
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209018899
IL
363LF0000X
Family Nurse Practitioner
209018899
IL
Other
Enumeration date
03/25/2019
Last updated
11/21/2025
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