Individual
MRS. SONIA IVELIS FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6129 N CAMPBELL AVE APT 1, CHICAGO, IL 60659-2809
(773) 330-2088
Mailing address
6129 N CAMPBELL AVE APT 1, CHICAGO, IL 60659-2809
(773) 330-2088
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.020512
IL
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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