| Doctor Name: | MS. ILANALEE C CABRERA |
| NPI Number: | 1194776260 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, RN, CPNP |
| License Number: | 2419-33 |
| Business Practice Address: | 4855 S Moorland Rd 3rd Floor Urgent Care Clinic New Berlin, WI - 531517494 |
| Business Phone Number: | 2624327599 |
| Business Fax Number: | 2624327694 |
| Mailing Address: | 9000 W Wisconsin Ave, Mail Station 958 MILWAUKEE |
| State: | WI |
| Postal Code: | 532264874 |
| Phone Number: | 4142667615 |
| Fax Number: | 4142666238 |
| NPI Enumeration Date: | 05/13/2006 |
| NPI Last Update Date: | 02/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 2419-33 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |