Individual provider · Type 1 NPI
Estrella Sepulveda
Primary Care Nurse Practitioner · Chicago, IL
NPI number
1225559727
Active
Practice location
1701 W Superior St
Chicago, IL 60622-5646
Mailing address
2009 W Concord Pl
Chicago, IL 60647-5526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 209015872 (IL) |
| Nurse Practitioner | 363L00000X | 209.015872 (IL) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1225559727
Estrella Sepulveda's National Provider Identifier is 1225559727, issued on Jul 5, 2017. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Chicago, IL. The record was last updated on Aug 10, 2021.