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NPI Code Detail

MEDICARE: GIOCONDA C ARIAS FNP

MEDICARE: GIOCONDA C ARIAS FNP
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 Practitioner209.015328IL

General Provider Information

NPI Number : 1558806539
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIOCONDA C ARIAS FNP
Provider Business Mailing Address
First Line : PO BOX 746715
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6715
Country : US
Telephone Number : 773-377-7736
Fax Number : 815-642-5723
Provider Business Practice Location Address
First Line : 4417 W DIVERSEY AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60639-1923
Country : US
Telephone Number : 773-377-7736
Fax Number : 815-642-5723
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2016
Last Update Date : 09/18/2025

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Directions to “ GIOCONDA C ARIAS FNP” Practice Location

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