Individual provider · NPI-1

Natalia Alwan, APRN

Nurse Practitioner · Berwyn, IL

NPI number1457979643
StatusActive
Last updated in NPPESMay 18, 2022

Details

NPI
1457979643
Entity type
Individual (NPI-1)
Name
Natalia Alwan
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Jul 14, 2020
Certification date
May 18, 2022
Last updated
May 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner209.021617ILYes

Practice location

3249 Oak Park Ave
Berwyn, IL 60402-3429

Phone 708-783-9100

Mailing address

3722 Harlem Ave Ste 204
Riverside, IL 60546-2320

Phone 708-783-7840

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