Healthcare Provider Details

I. General information

NPI: 1326696766
Provider Name (Legal Business Name): EMMA OANES DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2019
Last Update Date: 12/12/2021
Certification Date: 12/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13450 S KEDZIE AVE
ROBBINS IL
60472-1639
US

IV. Provider business mailing address

2207 N WESTERN AVE APT 2B
CHICAGO IL
60647-4568
US

V. Phone/Fax

Practice location:
  • Phone: 708-293-8100
  • Fax: 708-293-8131
Mailing address:
  • Phone: 608-843-9844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.021844
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number041.420850
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: