Ileana Haddock
Registered Nurse in Chicago, IL. Individual provider (NPI-1).
NPI number1417618307
StatusActive
Last updated in NPPESJan 4, 2022
Details
- NPI
- 1417618307
- Entity type
- Individual (NPI-1)
- Name
- Ileana Haddock
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2022
- Certification date
- Jan 4, 2022
- Last updated
- Jan 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 041.472868 | IL | Yes |
Practice location
3600 W Fullerton AveChicago, IL 60647-2319
Phone 773-782-2800 · Fax 773-782-5042
Mailing address
3600 W Fullerton AveChicago, IL 60647-2319
Phone 773-782-2800 · Fax 773-782-5042
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