LARISSA CHAIDEZ

WILMINGTON, IL
NPI1437013125
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209033243)
Enumeration Date2025-12-16
Last Update Date2026-02-05
Business Address
LARISSA CHAIDEZ
121 ROBERT P WEIDLING DR
WILMINGTON, IL 60481-1679
Phone number: 815-726-2200
Mailing Address
LARISSA CHAIDEZ
2025 S CHICAGO ST
JOLIET, IL 60436-3172
Phone number: 815-726-2200
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