Provider Demographics
NPI:1548819808
Name:SALINAS, SISENIA CORTES (FNP)
Entity type:Individual
Prefix:
First Name:SISENIA
Middle Name:CORTES
Last Name:SALINAS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 BRADWELL RD
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:IL
Mailing Address - Zip Code:60010-5826
Mailing Address - Country:US
Mailing Address - Phone:630-464-1644
Mailing Address - Fax:
Practice Address - Street 1:MPAC HEALTHCARE
Practice Address - Street 2:332 S. MICHIGAN AVENUE SUITE 1100
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-4219
Practice Address - Country:US
Practice Address - Phone:888-660-4425
Practice Address - Fax:708-843-0401
Is Sole Proprietor?:No
Enumeration Date:2019-09-10
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.019160363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily