MEDICARE: DR. DAVID VINCENT ALVAREZ DNP, 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	209007568	IL
2	163W00000X	Registered Nurse	041282033	IL
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	277000006	IL

General Provider Information

NPI Number	:	1275767394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID VINCENT ALVAREZ DNP, APN-CNP

Provider Business Mailing Address
First Line	:	4725 N SHERIDAN RD
Second Line	:	UNIT 2C
City	:	CHICAGO
State	:	IL
Zip	:	60640-7041
Country	:	US
Telephone Number	:	773-484-8183
Fax Number	:

Provider Business Practice Location Address
First Line	:	5801 N. PULASKI RD
Second Line	:	BUILDING C -- 2ND FLOOR
City	:	CHICAGO
State	:	IL
Zip	:	60646
Country	:	US
Telephone Number	:	773-484-3445
Fax Number	:	312-744-8442

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2009
Last Update Date	:	12/11/2025

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