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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLEAUQUITA WILEY, APN

Deactivated

CLEAUQUITA WILEY, APN is a Nurse Practitioner healthcare provider located in EVERGREEN PARK, Illinois. NPI 1528252061 is deactivated in the NPPES registry. Verify at CMS.

Nurse Practitioner · EVERGREEN PARK, IL

This NPI has been deactivated. The record was deactivated on December 16, 2021. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1528252061
Provider Type
Individual
Gender
Female
NPI Issued
Aug 28, 2007 (14.301369863014 yrs)
Last Updated
Feb 16, 2022
Deactivated
Dec 16, 2021
Licenses
041-353003 (IL)
209.024630 (IL)

Practice Information

Address
2727 W 97TH ST
EVERGREEN PARK, IL, 608052733
Browse IL providers · Browse ZIP 60805
Phone
7737323770
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in EVERGREEN PARK, IL

Name Credential NPI
MRS. MICHELLE RENEE AXIUM APN-BC 1730411737
MISS CAROLYN PAULIUS NP-BC 1316318736
DEBORAH MURRAY 1376047480
ARRION SHELTON NP-C 1700435534
ALEXANDRA NICOLE WALTERS FNP-BC 1316582687
MARY PABST 1386308534
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.