Healthcare Provider Details

I. General information

NPI: 1962053413
Provider Name (Legal Business Name): CHERLONDA HOWARD FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2019
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W 162ND ST
SOUTH HOLLAND IL
60473-2003
US

IV. Provider business mailing address

29373 NETWORK PL
CHICAGO IL
60673-1310
US

V. Phone/Fax

Practice location:
  • Phone: 708-730-2200
  • Fax:
Mailing address:
  • Phone: 847-390-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277-002867
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number103839
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: