Individual provider · Type 1 NPI
Eziaha R. Georgewill, APRN-BC, C
Primary Care Nurse Practitioner · Hazel Crest, IL
NPI number
1013521038
Active
Practice location
17800 Kedzie Ave # A
Hazel Crest, IL 60429-2029
Mailing address
17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 209.021912 (IL) |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Hazel Crest
About NPI 1013521038
Eziaha R. Georgewill, APRN-BC, C's National Provider Identifier is 1013521038, issued on Sep 8, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Hazel Crest, IL. The record was last updated on Sep 8, 2020.