SearchIllinois363LF0000X

Libin Zevallos, FNP-BC

NPI 1649637976 · on the registry since 2016

Practice

Address
4952 W Irving Park Rd
Suite 300
Chicago, IL 60641
Phone
(773) 942-6141
Fax
(847) 672-4799
Organisation at this address
Grand Vein Specialists Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
163W00000X
246ZC0007X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois