Healthcare Provider Details

I. General information

NPI: 1376612986
Provider Name (Legal Business Name): ARMINDA RUSTE DORADO REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIA ARMINDA DORADO REGISTERED NURSE

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5TH AVE. & ROOSEVELT RD. EDWARD HINES JR. VA HOSPITAL HBPC-CCHT 181B
HINES IL
60141
US

IV. Provider business mailing address

EDWARD HINES JR. VA HOSPITAL, 5TH & ROOSEVELT RD. HBPC/CCHT 181B
HINES IL
60141
US

V. Phone/Fax

Practice location:
  • Phone: 708-202-8387
  • Fax:
Mailing address:
  • Phone: 708-202-8387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: