Individual provider · Type 1 NPI
Daniel Ceballos, NURSE PRACTITIONER
Adult Health Nurse Practitioner · Chicago, IL
NPI number
1659449767
Active
Practice location
3600 W Fullerton Ave
Chicago, IL 60647-2319
Mailing address
2440 W Harrison St Apt 4
Chicago, IL 60612-3788
Other practice locations
- 10 S Kedzie Ave, Chicago, IL 60612-2706 · (312) 746-7335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 209-003925 (IL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1659449767
Daniel Ceballos, NURSE PRACTITIONER's National Provider Identifier is 1659449767, issued on Nov 30, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Chicago, IL. The record was last updated on Sep 29, 2020.