NPI 1124524053

Alexa Grace Rebolledo, CNA

Practitioner Home Health Aide Chicago, IL

Practice location

Address: 5828 W Henderson St, Chicago, IL 60634-4301
Phone: (312) 918-7846

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1124524053
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2018
Record last updated: 31 Mar 2018

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.