Individual provider · Type 1 NPI
Chanelle Christine Bates, APN
Family Nurse Practitioner · Chicago, IL
NPI number
1457986929
Active
Practice location
1203 W Augusta Blvd Ste 1
Chicago, IL 60642-4327
Mailing address
504 E Kansas St
Peoria, IL 61603-2554
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209020978 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1457986929
Chanelle Christine Bates, APN's National Provider Identifier is 1457986929, issued on Mar 5, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Apr 21, 2023.