Individual provider · Type 1 NPI
Jose Eduardo Tirado, AGPCNP-BC
Gerontology Nurse Practitioner · Clarendon Hills, IL
NPI number
1023539186
Active
Practice location
224 58th St
Clarendon Hills, IL 60514-1712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 0024175000 (VA) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1023539186
Jose Eduardo Tirado, AGPCNP-BC's National Provider Identifier is 1023539186, issued on Jun 29, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Clarendon Hills, IL. The record was last updated on Jun 29, 2017.