Individual provider · Type 1 NPI
Desiree Michelle Provax, APN
Nurse Practitioner · Chicago, IL
Practice location
5145 N California Ave Ste 331
Chicago, IL 60625-3661
Fax (773) 989-1734
Mailing address
2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Other practice locations
- 5237 W Windsor Ave, Chicago, IL 60630-3720 · (773) 547-3544
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209018899 (IL) |
| Nurse Practitioner Primary | 363L00000X | 209018899 (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 1942760962
Desiree Michelle Provax, APN's National Provider Identifier is 1942760962, issued on Mar 25, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Nov 21, 2025.