Organization · Type 2 NPI
Sozo Divine Health LLC
Family Nurse Practitioner · Chicago, IL
NPI number
1033980586
Active
Practice location
12000 S Yale Ave
Chicago, IL 60628-6537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1033980586
Sozo Divine Health LLC's National Provider Identifier is 1033980586, issued on Jan 12, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Oct 30, 2025.