Mrs. Agnes Callao Virata-delgado
Registered Nurse (Community Health)

Address: 4321 North Sawyer Ave, Chicago, IL 60618-1211
Phone: 7739053139

Mrs. Agnes Callao Virata-delgado (NPI# 1225675267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1225675267
Entity Type Individual
Full Name Mrs. Agnes Callao Virata-delgado
Credential RN
Gender Female
Practice Address 4321 North Sawyer Ave
Chicago
IL 60618-1211
Practice Telephone 7739053139
Mailing Address 4321 North Sawyer Ave
Chicago
IL 60618-1211
Mailing Telephone 7739053139
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2019-12-10
Last Update Date 2019-12-10

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 163WC1500X Registered Nurse · Community Health Nursing Service Providers 770976 CA
No 163WP2201X Registered Nurse · Ambulatory Care Nursing Service Providers 770976 CA

Taxonomy Information

Taxonomy Code 163WC1500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Community Health

Taxonomy Definition

Definition to come...

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Office Location

Street Address 4321 NORTH SAWYER AVE
City CHICAGO
State IL
Zip Code 60618-1211

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Competitor

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City CHICAGO
Zip Code 60618

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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