MANUEL AVILA
Individual Provider (NPI-1)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1083581649- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 6551 NORTH AVE, OAK PARK, IL, 603021020
- Phone
- (708) 790-5200
Specialties & Taxonomies
Nurse Practitioner, Psych/Mental Health
Primary License: IL #209.036085
All Addresses
MAILING
3243 S 54TH AVE
CICERO, IL, 608043928