Organization
LA DONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA CUEVAS NP (OWNER)
(773) 235-3540
Entity
Organization
Contact information
Practice address
1050 WAKEFIELD DR, ELGIN, IL 60120-4946
(773) 235-3540
Mailing address
1050 WAKEFIELD DR, ELGIN, IL 60120-4946
(773) 235-3540
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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