Individual provider · Type 1 NPI
Gladys Otito, PA
Family Nurse Practitioner · Chicago, IL
NPI number
1871216374
Active
Practice location
6374 N Lincoln Ave Ste 201
Chicago, IL 60659-1219
Fax (773) 539-1207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | 209025801 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1871216374
Gladys Otito, PA's National Provider Identifier is 1871216374, issued on Sep 21, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Sep 21, 2022.