Wiley, Cleauquita

Wiley, Cleauquita is an individual health care provider with primary practice located at 2727 W 97Th St , Evergreen Park IL 60805-2733. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wiley, Cleauquita can be contacted via phone (773) 732-3770.

Contact Information

Primary practice address
2727 W 97Th St Evergreen Park IL 60805-2733
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 041-353003 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209.024630 Illinois

Profile Details

NPI number 1528252061
LBN Legal business name Wiley, Cleauquita
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Feb 16th, 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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