Desiree Michelle Provax, APN is a family nurse practitioner in Chicago, IL with 6 years of experience. Desiree Michelle Provax, APN NPI is 1942760962. 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:
5237 W WINDSOR AVE
CHICAGO, IL
ZIP 60630-720
Phone: (773) 547-3544
The NPI 1942760962 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/25/2019 and was last updated on 3/25/2019.