Provider Stat PLLC
Provider Stat PLLC is a Family Nurse Practitioner in Chicago, Illinois. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6374 N Lincoln Ave Ste 312Chicago, IL 60659-1224
Phone: (312) 308-0219
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X |
|---|
Record details
| NPI number | 1487372546 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dina Zimmerman — Owner · (312) 308-0219 |
| NPI enumerated | August 16, 2022 |
| Last updated in NPPES | January 16, 2023 |
| Certification date | January 16, 2023 |
| Mailing address | 6374 N Lincoln Ave Ste 312, Chicago, IL 60659-1224 |
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