institution
Tapestry 360 Health
Community Health Nurse Practitioner in Chicago, Illinois
NPI 1700044039

Tapestry 360 Health is a Community Health Nurse Practitioner based in Chicago, IL and is specialized in Community Health. Tapestry 360 Health practices in Chicago, IL. The NPI Number for Tapestry 360 Health is 1700044039 and holds a License No. (Illinois).

The current practice location address for Tapestry 360 Health is 3436 West Wilson Avenue, Chicago, IL and can be reached out via phone at 773-866-0818 and via fax at 773-866-9069.

Location: 3436 West Wilson Avenue, Chicago, IL, 60660-1329
institution
Provider Profile Details
NPI Number
1700044039
Provider Name
Tapestry 360 Health
Credential
Provider Entity Type
Organization
Address
3436 West Wilson Avenue, Chicago, IL, 60660-1329
Phone Number
773-866-0818
Fax Number
773-866-9069
Provider Enumeration Date
05/22/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004 05 IL
institution
Provider Business Practice Location Address Details
Address
3436 West Wilson Avenue
City
State
Zip
60625-5318
Phone Number
773-866-0818
Fax Number
773-866-9069
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Provider Business Mailing Address Details
Address
3436 West Wilson Avenue
City
State
Zip
60625-5318
Phone Number
773-866-0818
Fax Number
773-866-9069
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Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
004 (Illinois)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Community Health
Taxonomy
License No.
()
Definition
Definition to come...
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