person
Eziaha R Georgewill, APRN-BC,C
Primary Care Nurse Practitioner in Hazel Crest, Illinois
NPI 1013521038

Eziaha R Georgewill is a Primary Care Nurse Practitioner based in Hazel Crest, IL and is specialized in Primary Care. Eziaha R Georgewill practices in Hazel Crest, IL and has the professional credentials of APRN-BC,C. The NPI Number for Eziaha R Georgewill is 1013521038 and holds a License No. 209.021912 (Illinois).

The current practice location address for Eziaha R Georgewill is 17800 Kedzie Ave # A, Hazel Crest, IL and can be reached out via phone at 708-799-8000.

Location: 17800 Kedzie Ave # A, Hazel Crest, IL, 60429-2029
person
Provider Profile Details
NPI Number
1013521038
Provider Name
Eziaha R Georgewill
Credential
APRN-BC,C
Provider Entity Type
Individual
Gender
Female
Address
17800 Kedzie Ave # A, Hazel Crest, IL, 60429-2029
Phone Number
708-799-8000
Fax Number
Provider Enumeration Date
09/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17800 Kedzie Ave # A
City
State
Zip
60429-2029
Phone Number
708-799-8000
Fax Number
person
Provider Business Mailing Address Details
Address
17800 Kedzie Ave # A
City
State
Zip
60429-2029
Phone Number
708-799-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
209.021912 (Illinois)
Definition
Definition to come...
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