Organization · Type 2 NPI

Mpac of Wisconsin SC

Nurse Practitioner · Chicago, IL

NPI number 1750876249 Active

Practice location

3000 N Halsted St Ste 803
Chicago, IL 60657-6185

Mailing address

2045 W Grand Ave Ste B, #28354
Chicago, IL 60612-1577

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

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 1750876249

Mpac of Wisconsin SC's National Provider Identifier is 1750876249, issued on Jun 27, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Nov 26, 2024.