Jose Eduardo Tirado
Nurse Practitioner - Gerontology
224 58th St
Clarendon Hills
, Illinois 60514-1712
Jose Eduardo Tirado
Nurse Practitioner - Gerontology
224 58th St
Clarendon Hills
, Illinois 60514-1712
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Jose Eduardo Tirado
- 224 58th St
- Clarendon Hills, IL
- Zip : 60514-1712
- Phone :
Second Address
- Jose Eduardo Tirado
- 224 58th St
- Clarendon Hills, IL
- Zip : 60514-1712
- Phone : (808) 225-4546
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 0024175000 | VA |
National Provider Identifier
| NPI | 1023539186 |
|---|---|
| Provider Name | Jose Eduardo Tirado |
| First Address | Clarendon Hills, IL 60514-1712 |
| Second Address | Clarendon Hills, IL 60514-1712 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2017 |
| Last Update Date | 29/06/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.