Soledad Rios
Nurse Practitioner, Family in Grayslake, IL. Individual provider (NPI-1).
NPI number1194100446
StatusActive
Last updated in NPPESAug 13, 2021
Details
- NPI
- 1194100446
- Entity type
- Individual (NPI-1)
- Name
- Soledad Rios
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 28, 2015
- Certification date
- Aug 12, 2021
- Last updated
- Aug 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 277000941 | IL | Yes |
| 363LF0000X | Nurse Practitioner, Family | 209012982 | IL |
Practice location
32908 N John Mogg RdGrayslake, IL 60030-2234
Phone 224-305-2739
Mailing address
32908 N John Mogg RdGrayslake, IL 60030-2234
Phone 224-305-2739
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