NPI 1114535903

Jaziel Chavira

Practitioner Nurse Practitioner Sterling, IL

Practice location

Address: 101 E Miller Rd, Sterling, IL 61081-1252
Phone: (815) 625-4790

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 209021433 (IL)

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Registry record

NPI: 1114535903
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2020
Record last updated: 17 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.