THERESA MARIA IZQUIERDO NPI 1770253262

NPI Information

NPI: 1770253262
Provider Name: THERESA MARIA IZQUIERDO
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1152 N MILWAUKEE AVE
CHICAGO, IL
ZIP 60642
Phone: (773) 252-2240
Get Directions

Theresa Maria Izquierdo is a family nurse practitioner in Chicago, IL. Theresa Maria Izquierdo NPI is 1770253262. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1152 N MILWAUKEE AVE
CHICAGO, IL
ZIP 60642-010
Phone: (773) 252-2240
Fax: (773) 252-2267

The enumeration date for this NPI number is 9/15/2021 and was last updated on 9/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209024005	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NOTYETOBTAINED	OTHER	ILLINOIS	NOTYETOBTAINED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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