Kelly Tais Azambuja Cachoeira, APRN
NPI #1295599900 in Bannockburn, Illinois
Provider Information
- NPI Number
- 1295599900
- Entity Type
- Individual
- Name
- Kelly Tais Azambuja Cachoeira, APRN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- APRN
- Enumeration Date
- Feb 13, 2024
- Last Updated
- Aug 7, 2024
Practice Location
- Address
- 2151 WAUKEGAN RD STE 100
- City
- Bannockburn
- State
- Illinois
- ZIP Code
- 60015-1885
- Phone
- (847) 444-5300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
Additional Practice Locations
1103 S Hunt Club Dr Apt 319
Mount Prospect, IL, 60056-4274
(630) 605-7875
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