Healthcare Provider Details

I. General information

NPI: 1407197726
Provider Name (Legal Business Name): ARLETTE CRISTINA SUAREZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2013
Last Update Date: 01/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 CLEVELAND ST
SKOKIE IL
60076-2658
US

IV. Provider business mailing address

4300 CLEVELAND ST
SKOKIE IL
60076-2658
US

V. Phone/Fax

Practice location:
  • Phone: 305-505-9643
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209011111
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number421148
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number658383
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041416258
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: