Provider Demographics
NPI:1043504061
Name:FELICIANO, NAHOMY C (INTERPRETER)
Entity Type:Individual
Prefix:
First Name:NAHOMY
Middle Name:C
Last Name:FELICIANO
Suffix:
Gender:F
Credentials:INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5321 W EDDY ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-3311
Mailing Address - Country:US
Mailing Address - Phone:773-954-3465
Mailing Address - Fax:
Practice Address - Street 1:5321 W EDDY ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-3311
Practice Address - Country:US
Practice Address - Phone:773-954-3465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter