Individual provider · NPI-1

Althea Bailey

Nurse Practitioner, Family · Evanston, IL

NPI number1972475846
StatusActive
Last updated in NPPESSep 20, 2025

Details

NPI
1972475846
Entity type
Individual (NPI-1)
Name
Althea Bailey
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 20, 2025
Certification date
Sep 20, 2025
Last updated
Sep 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family209032657ILYes

Practice location

355 Ridge Ave
Evanston, IL 60202-3399

Phone 847-316-6130

Mailing address

3903 Cleveland St
Skokie, IL 60076-2702

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