Aira Basco Advincula
Registered Nurse, Gerontology in Lake Forest, IL. Individual provider (NPI-1).
NPI number1013786540
StatusActive
Last updated in NPPESDec 26, 2023
Details
- NPI
- 1013786540
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Aira Basco Advincula
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2023
- Certification date
- Dec 26, 2023
- Last updated
- Dec 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0600X | Registered Nurse, Gerontology | 041398194 | IL | Yes |
Practice location
1101 Pembridge DrLake Forest, IL 60045-4222
Phone 847-604-6751 · Fax 847-604-6708
Mailing address
1101 Pembridge DrLake Forest, IL 60045-4222
Phone 847-604-6511 · Fax 847-604-6708
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