Individual provider · Type 1 NPI

Kenneth Torres Lazaro, FNP-BC

Nurse Practitioner · Park Ridge, IL

NPI number 1649791195 Active

Practice location

1775 Dempster St Ste E592C
Park Ridge, IL 60068-1143

Call (312) 609-0300 Map

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X209016126 (IL)
Nurse Practitioner Primary 363L00000X209016126 (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 1649791195

Kenneth Torres Lazaro, FNP-BC's National Provider Identifier is 1649791195, issued on Jul 5, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Park Ridge, IL. The record was last updated on Apr 9, 2025.