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NPI Code Detail

MEDICARE: CORINA BISCOS-VINESAR FNP-BC

MEDICARE: CORINA BISCOS-VINESAR FNP-BC
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 Practitioner209.030693IL
22081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician036.170454IL

General Provider Information

NPI Number : 1164240032
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORINA BISCOS-VINESAR FNP-BC
Provider Business Mailing Address
First Line : 1749 N WELLS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60614-5877
Country : US
Telephone Number : 312-440-9646
Fax Number :
Provider Business Practice Location Address
First Line : 1749 N WELLS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60614-5877
Country : US
Telephone Number : 312-440-9646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2024
Last Update Date : 01/14/2026

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Directions to “ CORINA BISCOS-VINESAR FNP-BC” Practice Location

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