Jeffrey Hiltrop
Nurse Practitioner in Chicago, IL. Individual provider (NPI-1).
NPI number1730683228
StatusActive
Last updated in NPPESAug 14, 2024
Details
- NPI
- 1730683228
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey Hiltrop
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2018
- Certification date
- Aug 14, 2024
- Last updated
- Aug 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | A179234 | IA | Yes |
| 163WE0003X | Registered Nurse, Emergency | 041.400942 | IL | |
| 363L00000X | Nurse Practitioner | 209.017524 | IL |
Practice location
1500 S Fairfield AveChicago, IL 60608-1782
Phone 773-257-6241
Mailing address
1500 S Fairfield AveChicago, IL 60608-1782
Phone 773-257-6241
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