Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 209011200 | IL |
N | 363LA2200X | Nurse Practitioner - Adult Health | 209011200 | IL |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 209011200 | IL |
N | 363LG0600X | Nurse Practitioner - Gerontology | 209011200 | IL |
NPI | 1023430832 |
---|---|
Provider Name | Gloria Alumona |
First Address | Chicago, IL 60625-3500 |
Second Address | Chicago, IL 60625-3661 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2014 |
Last Update Date | 30/10/2020 |