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NPI Code Detail

MEDICARE: MS. SUZETTE CHEVERE APRN

MEDICARE: MS. SUZETTE CHEVERE APRN
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 Practitioner209.025135IL

General Provider Information

NPI Number : 1427794080
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUZETTE CHEVERE APRN
Provider Business Mailing Address
First Line : 1889 MAPLE AVE UNIT N5
Second Line :
City : EVANSTON
State : IL
Zip : 60201-3170
Country : US
Telephone Number : 312-221-7665
Fax Number :
Provider Business Practice Location Address
First Line : 2409 N CLYBOURN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60614-6185
Country : US
Telephone Number : 773-661-2425
Fax Number : 866-501-5325
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2022
Last Update Date : 05/06/2022

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