DELIA M LACAVERA APN
Surgery Yellow Pages
Elmhurst, Illinois
Provider NPI: 1174718787
Provider Information:DELIA M LACAVERA APN
Practice Location:
155 E BRUSH HILL RD ELMHURST, IL 60126 US
Tel: 331-221-1000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | IL | 2090061650 |
N | 364SM0705X | Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist | IL | 209006650 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2090061650 | IL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin