Healthcare Provider Details

I. General information

NPI: 1720639008
Provider Name (Legal Business Name): ESMERALDA OCHOA APN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2019
Last Update Date: 11/27/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 W SCHAUMBURG RD
SCHAUMBURG IL
60194-3891
US

IV. Provider business mailing address

2201 W SCHAUMBURG RD
SCHAUMBURG IL
60194-3891
US

V. Phone/Fax

Practice location:
  • Phone: 847-885-8480
  • Fax:
Mailing address:
  • Phone: 630-290-3953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.020125
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: