Abano, Roseviminda

Abano, Roseviminda is an individual health care provider with primary practice located at 7501 Grand Ave , Gurnee IL 60031-1551. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Abano, Roseviminda can be contacted via phone (800) 323-8622.

Contact Information

Primary practice address
7501 Grand Ave Gurnee IL 60031-1551
Phone: (800) 323-8622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209011670 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209011670 Illinois

Profile Details

NPI number 1215318555
LBN Legal business name Abano, Roseviminda
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2015
Last updated Apr 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215318555 NPPES
Illinois Other 209011670 STATE LICENSE

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