Healthcare Provider Details

I. General information

NPI: 1811801764
Provider Name (Legal Business Name): MS. ADRIANA CABRERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3223 ERNST ST
FRANKLIN PARK IL
60131-1503
US

IV. Provider business mailing address

3223 ERNST ST
FRANKLIN PARK IL
60131-1503
US

V. Phone/Fax

Practice location:
  • Phone: 708-202-2760
  • Fax:
Mailing address:
  • Phone: 708-202-2760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041343634
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: