Individual provider · Type 1 NPI
Mateo M. Betanzos, FNP/BC
Family Nurse Practitioner · Chicago, IL
NPI number
1457767998
Active
Practice location
1337 W 19th St
Chicago, IL 60608-3896
Mailing address
4025 N Sheridan Rd
Chicago, IL 60613-2010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209011574 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1457767998
Mateo M. Betanzos, FNP/BC's National Provider Identifier is 1457767998, issued on Jul 4, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Jan 10, 2018.