Most Relevant Information
Provider Data
| NPI Number: | 1003510751 |
| Provider Name: | ALICIA ESTRADA FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209.027006 |
Most Important Dates
| Enumeration Date: | 03/28/2023 |
| Last Updated: | 08/22/2024 |
Provider Practice Location
4952 W IRVING PARK RD
CHICAGO
IL
606412693
Practice Location Phone/Fax
| Phone: | 7736147296 |
| Fax: | 8667072267 |
Provider Mailing Location
4952 W IRVING PARK RD
CHICAGO
IL
606412693
Provider Mailing Phone/Fax
| Phone: | 7736147296 |
| Fax: | 8667072267 |