Individual provider · Type 1 NPI

Ileana Haddock

Registered Nurse · Chicago, IL

NPI number 1417618307 Active

Practice location

3600 W Fullerton Ave
Chicago, IL 60647-2319

Fax (773) 782-5042

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X041.472868 (IL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1417618307

Ileana Haddock's National Provider Identifier is 1417618307, issued on Jan 4, 2022. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Chicago, IL. The record was last updated on Jan 4, 2022.