Healthcare Provider Details

I. General information

NPI: 1437686821
Provider Name (Legal Business Name): APRIL LEI SAN JUAN DNP, APN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2017
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 N HALSTED ST STE 401
CHICAGO IL
60642-2607
US

IV. Provider business mailing address

29373 NETWORK PL
CHICAGO IL
60673-1293
US

V. Phone/Fax

Practice location:
  • Phone: 773-880-0320
  • Fax:
Mailing address:
  • Phone: 847-390-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209015358
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: