Provider Demographics
NPI:1326696766
Name:OANES, EMMA (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:OANES
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 N WESTERN AVE APT 2B
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-4568
Mailing Address - Country:US
Mailing Address - Phone:608-843-9844
Mailing Address - Fax:
Practice Address - Street 1:13450 S KEDZIE AVE
Practice Address - Street 2:
Practice Address - City:ROBBINS
Practice Address - State:IL
Practice Address - Zip Code:60472-1639
Practice Address - Country:US
Practice Address - Phone:708-293-8100
Practice Address - Fax:708-293-8131
Is Sole Proprietor?:No
Enumeration Date:2019-08-28
Last Update Date:2021-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.021844363LF0000X
IL041.420850163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WX0200XNursing Service ProvidersRegistered NurseOncology