Individual provider · NPI-1
Francisco Acevedo Jr., APRN, CNP
Nurse Practitioner · Mokena, IL
NPI number1467446930
StatusActive
Last updated in NPPESMay 22, 2024
Details
- NPI
- 1467446930
- Entity type
- Individual (NPI-1)
- Name
- Francisco Acevedo Jr.
- Credential
- APRN, CNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2005
- Certification date
- May 22, 2024
- Last updated
- May 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 277001115 | IL | Yes |
| 363L00000X | Nurse Practitioner | 71001336A | IN | |
| 363LF0000X | Nurse Practitioner, Family | 209-004145 | IL | |
| 363LF0000X | Nurse Practitioner, Family | 71001336A | IN |
Practice location
21202 Owens Rd Ste 101Mokena, IL 60448-2038
Phone 779-334-0030 · Fax 779-334-0031
Mailing address
21202 Owens Rd Ste 101Mokena, IL 60448-2038
Phone 779-334-0030 · Fax 779-334-0031
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