Individual
LARA VALDEZ CAPANGPANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-1000
Mailing address
405 N WABASH AVE UNIT 605, CHICAGO, IL 60611-5606
(773) 875-7295
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.420667
IL
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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