Provider Demographics
NPI:1922837160
Name:RAMIREZ, LETICIA A (RN, BSN, MBA)
Entity type:Individual
Prefix:MS
First Name:LETICIA
Middle Name:A
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:RN, BSN, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9707 S WINCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60643-1615
Mailing Address - Country:US
Mailing Address - Phone:773-762-9359
Mailing Address - Fax:
Practice Address - Street 1:9000 WAUKEGAN RD STE 120
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-2128
Practice Address - Country:US
Practice Address - Phone:847-213-5444
Practice Address - Fax:847-213-5499
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-27
Last Update Date:2024-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041366266163WX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0800XNursing Service ProvidersRegistered NurseOrthopedic