Provider Demographics
NPI:1962298315
Name:SALVADOR, LOURDES ALCARAZ (APRN)
Entity type:Individual
Prefix:
First Name:LOURDES
Middle Name:ALCARAZ
Last Name:SALVADOR
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 LONGFELLOW DR
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-3121
Mailing Address - Country:US
Mailing Address - Phone:773-971-4889
Mailing Address - Fax:
Practice Address - Street 1:306 LONGFELLOW DR
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-3121
Practice Address - Country:US
Practice Address - Phone:773-971-4889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.032086363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health