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NPI Code Detail

MEDICARE: MRS. ERICA ORTEZ FNP-BC, APN

MEDICARE: MRS. ERICA ORTEZ FNP-BC, APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209008212IL

General Provider Information

NPI Number : 1104139336
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ERICA ORTEZ FNP-BC, APN
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number : 847-390-5900
Fax Number :
Provider Business Practice Location Address
First Line : 9831 S WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60643-1740
Country : US
Telephone Number : 773-445-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2010
Last Update Date : 01/14/2026

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