Provider Demographics
NPI:1215642368
Name:CHAVEZ DUARTE, JUAN ARMANDO (APRN, CNP)
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:ARMANDO
Last Name:CHAVEZ DUARTE
Suffix:
Gender:M
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2507 N RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60051-5407
Mailing Address - Country:US
Mailing Address - Phone:815-344-2300
Mailing Address - Fax:815-344-8957
Practice Address - Street 1:2507 N RICHMOND RD
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60051-5407
Practice Address - Country:US
Practice Address - Phone:815-344-2300
Practice Address - Fax:815-344-8957
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209025821363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily