Flores, Luis R

Flores, Luis R is an sole proprietor health care provider with primary practice located at 2233 W Division St , Chicago IL 60622-8151. He recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as his primary health care specialty. Flores, Luis R can be contacted via phone (312) 770-2235.

Contact Information

Primary practice address
2233 W Division St Chicago IL 60622-8151
Phone: (312) 770-2235
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 041290690 Illinois

Profile Details

NPI number 1063923316
LBN Legal business name Flores, Luis R
Credentials RN,CDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2017
Last updated Jun 16th, 2018 - about 7 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 1063923316 NPPES
Illinois Other 041290690 RN,CDE
Illinois Other 041290690 RN,CDE
Illinois MEDICAID 01021969 RN,CDE
Illinois Other 041290690 RN,CDE
Illinois MEDICAID 041290690 RN,CDE

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