Most Relevant Information
Provider Data
| NPI Number: | 1003356874 |
| Provider Name: | CARCENA HARVEY-BURNS APN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209015570 |
Most Important Dates
| Enumeration Date: | 02/27/2017 |
| Last Updated: | 02/11/2019 |
Provider Practice Location
549 W RANDOLPH ST
CHICAGO
IL
60661
Practice Location Phone/Fax
| Phone: | 2247702424 |
| Fax: | 8475561715 |
Provider Mailing Location
2050 CLAIRE CT
GLENVIEW
IL
600257635
Provider Mailing Phone/Fax
| Phone: | 2247702424 |
| Fax: | 8475561715 |