person
Desiree Michelle Provax, APN
Family Nurse Practitioner in Chicago, Illinois
NPI 1942760962

Desiree Michelle Provax is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Desiree Michelle Provax practices in Chicago, IL and has the professional credentials of APN. The NPI Number for Desiree Michelle Provax is 1942760962 and holds a License No. 209.018899 (Illinois).

The current practice location address for Desiree Michelle Provax is 5237 W Windsor Ave, Chicago, IL and can be reached out via phone at 773-547-3544.

Location: 5237 W Windsor Ave, Chicago, IL, 60630-3720
person
Provider Profile Details
NPI Number
1942760962
Provider Name
Desiree Michelle Provax
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
5237 W Windsor Ave, Chicago, IL, 60630-3720
Phone Number
773-547-3544
Fax Number
Provider Enumeration Date
03/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5237 W Windsor Ave
City
State
Zip
60630-3720
Phone Number
773-547-3544
Fax Number
person
Provider Business Mailing Address Details
Address
5237 W Windsor Ave
City
State
Zip
60630-3720
Phone Number
773-547-3544
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209.018899 (Illinois)
Definition
Definition to come...
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