Stephanie Salamanca
Nurse Practitioner, Family in Chicago, IL. Individual provider (NPI-1).
NPI number1083173066
StatusActive
Last updated in NPPESMar 18, 2019
Details
- NPI
- 1083173066
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Salamanca
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2019
- Last updated
- Mar 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209018820 | IL | Yes |
Practice location
1025 W Sunnyside AveChicago, IL 60640-5684
Phone 773-935-6126
Mailing address
7501 N Oconto AveChicago, IL 60631-4443
Phone 847-338-4030
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