MEDICARE: CLAUDIANA VARGAS NORTH

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	209.030345	IL

General Provider Information

NPI Number	:	1033942107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIANA VARGAS NORTH

Provider Business Mailing Address
First Line	:	3752 N ALBANY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-4522
Country	:	US
Telephone Number	:	773-301-5760
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 W BRADLEY PL STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-4716
Country	:	US
Telephone Number	:	877-492-0170
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2024
Last Update Date	:	06/01/2026

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Directions to “ CLAUDIANA VARGAS NORTH ” Practice Location

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