DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WANISSA FORD FNP-BC

MEDICARE: WANISSA FORD FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209.011082IL

General Provider Information

NPI Number : 1033531736
Entity Type Code : Individual
Provider Name (Legal Business Name) : WANISSA FORD FNP-BC
Provider Business Mailing Address
First Line : 3752 W 16TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60623-2028
Country : US
Telephone Number : 773-762-2435
Fax Number : 773-762-2017
Provider Business Practice Location Address
First Line : 3752 W 16TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60623-2028
Country : US
Telephone Number : 773-762-2435
Fax Number : 773-762-2017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2014
Last Update Date : 02/21/2014

Similar Medicare Providers

1679526073 — VIKOL PHARMACY INC
Practice Location Address:
3752 W 16TH ST
CHICAGO, IL
60623-2028
Practice Phone: 773-521-0060
Practice Fax: 773-521-8770
1447321898 — ACCESS COMMUNITY HEALTH NETWORK
Practice Location Address:
3752 W 16TH ST
CHICAGO, IL
60623-2028
Practice Phone: 773-762-2435
Practice Fax:
1316384217 — MR. KOLAWOLE A DUROJAIYE BSC
Practice Location Address:
3752 W 16TH ST
CHICAGO, IL
60623-2028
Practice Phone: 773-521-0060
Practice Fax: 773-521-8770
1912305707 — MR. SERGIO ANTONIO SOSA JR. RN, FNP-C
Practice Location Address:
3752 W 16TH ST
CHICAGO, IL
60623-2028
Practice Phone: 773-762-2435
Practice Fax:
1497128268 — MR. JOVAN CHANDLER LCPC
Practice Location Address:
3752 W 16TH ST
CHICAGO, IL
60623-2028
Practice Phone: 773-762-2435
Practice Fax:
1154771095 — ALBERT OLUGBOTEMI DADA PHARMACIST
Practice Location Address:
3752 W 16TH ST
CHICAGO, IL
60623-2028
Practice Phone: 773-521-0060
Practice Fax: 773-521-8770

Directions to “ WANISSA FORD FNP-BC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.