person
Theresa Maria Izquierdo
Family Nurse Practitioner in Chicago, Illinois
NPI 1770253262

Theresa Maria Izquierdo is a Family Nurse Practitioner based in Elk Grove Village, IL and is specialized in Family. Theresa Maria Izquierdo practices in Chicago, IL. The NPI Number for Theresa Maria Izquierdo is 1770253262 and holds a License No. 209024005 (Illinois).

The current practice location address for Theresa Maria Izquierdo is 1152 N Milwaukee Ave, Chicago, IL and can be reached out via phone at 773-252-2240 and via fax at 773-252-2267.

Location: 1152 N Milwaukee Ave, Chicago, IL, 60007-4707
person
Provider Profile Details
NPI Number
1770253262
Provider Name
Theresa Maria Izquierdo
Credential
Provider Entity Type
Individual
Gender
Female
Address
1152 N Milwaukee Ave, Chicago, IL, 60007-4707
Phone Number
773-252-2240
Fax Number
773-252-2267
Provider Enumeration Date
09/15/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NOTYETOBTAINED 01 IL NOTYETOBTAINED
institution
Provider Business Practice Location Address Details
Address
1152 N Milwaukee Ave
City
State
Zip
60642-4010
Phone Number
773-252-2240
Fax Number
773-252-2267
person
Provider Business Mailing Address Details
Address
1152 N Milwaukee Ave
City
State
Zip
60642-4010
Phone Number
773-252-2240
Fax Number
773-252-2267
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209024005 (Illinois)
Definition
Definition to come...
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