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NPI Code Detail

MEDICARE: ANGELA QUIROZ APN-CNP

MEDICARE: ANGELA QUIROZ APN-CNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner209.027186IL
2363L00000XNurse Practitioner209027186IL

General Provider Information

NPI Number : 1174212088
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA QUIROZ APN-CNP
Provider Business Mailing Address
First Line : 9697 191ST ST
Second Line :
City : MOKENA
State : IL
Zip : 60448-8609
Country : US
Telephone Number : 630-305-5027
Fax Number :
Provider Business Practice Location Address
First Line : 9697 191ST ST
Second Line :
City : MOKENA
State : IL
Zip : 60448-8609
Country : US
Telephone Number : 630-305-5027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2023
Last Update Date : 05/06/2026

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