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1073091690 NPI number — ROSITA PALOMO-ALICEA FNP-C

NPI Number: 1073091690
Health Care Provider/Practitioner: ROSITA PALOMO-ALICEA FNP-C

Information about “1073091690” NPI (ROSITA PALOMO-ALICEA FNP-C) exists in 1073091690 in HTML format HTML  |  1073091690 in plain Text format TXT  |  1073091690 in PDF (Portable Document Format) PDF  |  1073091690 in an XML format XML  formats.

NPI Number : 1073091690 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073091690",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PALOMO-ALICEA",
    "FirstName": "ROSITA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PALOMO ALICEA",
    "OtherFirstName": "ROSITA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "9119 S EXCHANGE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60617-4225",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-768-5000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10536 S EWING AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60617-6219",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-768-5000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/06/2018",
    "LastUpdateDate": "07/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "277.004205",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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