Individual provider · Type 1 NPI

Faye Gandeza Ibanez, CNP

Nurse Practitioner · Chicago, IL

NPI number 1336623917 Active

Practice location

5140 N California Ave Ste G115
Chicago, IL 60625-4971

Call (773) 989-3803 Map

Fax (773) 989-3979

Mailing address

2650 Ridge Ave
Evanston, IL 60201-1700

Other practice locations

  • 2650 Ridge Ave, Evanston, IL 60201-1700 · (773) 989-3803

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X209.018210 (IL)
Nurse Practitioner Primary 363L00000X209018210 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1336623917

Faye Gandeza Ibanez, CNP's National Provider Identifier is 1336623917, issued on Sep 20, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Mar 21, 2022.