Lidia Jennifer Ortiz APN

NPI 1710365085 - Nurse Practitioner - 363LP2300X

NPI Details
NPI 1710365085
Gender Female
Enumeration Date 05/07/2015
Last Updated 10/14/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
4327 S ARCHER AVE
SUITE 100
CHICAGO IL, 60632-2844, US
Phone (773) 242-2730
Fax
Business Location
213 N RACINE AVE
SUITE 100
CHICAGO IL, 60607-1644, US
Phone (312) 733-9730
Fax
Toxanomy
Taxonomy Code 363LP2300X
License State Illinois
License Number 209012036041364106
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According to our database, Lidia Jennifer Ortiz APN NPI is 1710365085, taxonomy code is 363LP2300X and license number is 209012036041364106, license state is located at Illinois. Lidia Jennifer Ortiz APN physically located at 4327 S Archer Ave, Chicago IL, 60632-2844. NPI Number Lidia Jennifer Ortiz APN has the Individual type.

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1710365085 NPI number is provided on an as is basis without warranty of any kind. 1710365085 is maintained by the National Plan & Provider Enumeration System. The contents of Lidia Jennifer Ortiz APN are for informational purposes only.