Organization · Type 2 NPI

Mpac PHC of Il PC

Nurse Practitioner · Chicago, IL

NPI number 1396402129 Active

Practice location

200 N La Salle St Ste 1550
Chicago, IL 60601-1034

Call (888) 705-8722 Map

Mailing address

PO Box 5031 Pmb 17336
Evanston, IL 60204-5031

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker	1041C0700X	None listed
Nurse Practitioner Primary	363L00000X	None listed

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…

5 other providers at this address

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About NPI 1396402129

Mpac PHC of Il PC's National Provider Identifier is 1396402129, issued on Nov 29, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Dec 10, 2021.