Most Relevant Information
Provider Data
| NPI Number: | 1003658477 |
| Provider Name: | ANDREA ROSE DELEON FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 041509349 |
Most Important Dates
| Enumeration Date: | 06/07/2024 |
| Last Updated: | 08/08/2024 |
Provider Practice Location
2265 N CLYBOURN AVE
CHICAGO
IL
606143052
Practice Location Phone/Fax
| Phone: | 7732966700 |
| Fax: |
Provider Mailing Location
6121 W HENDERSON ST
CHICAGO
IL
606344137
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |