Azambuja Cachoeira, Kelly Tais

Azambuja Cachoeira, Kelly Tais is an individual health care provider with primary practice located at 1103 S Hunt Club Dr Apt 319 , Mount Prospect IL 60056-4274. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Azambuja Cachoeira, Kelly Tais can be contacted via phone (630) 605-7875.

Contact Information

Primary practice address

1103 S Hunt Club Dr Apt 319 Mount Prospect IL 60056-4274

Phone: (630) 605-7875

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner	363L00000X	209029354	Illinois

Profile Details

NPI number	1295599900
LBN Legal business name	Azambuja Cachoeira, Kelly Tais
Credentials	Advanced Practice Registered Nurse (APRN)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Feb 13th, 2024
Last updated	Mar 18th, 2024 - about 8 months 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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