| Doctor Name: | MS. MYRA ALICIA CELESTIN |
| NPI Number: | 1528274289 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | REGISTERED NURSE |
| License Number: | |
| Business Practice Address: | 2441 S 12th Ave Broadview, IL - 601554817 |
| Business Phone Number: | 3123434339 |
| Business Fax Number: | 7083450147 |
| Mailing Address: | 2441 S 12th Ave, BROADVIEW |
| State: | IL |
| Postal Code: | 601554817 |
| Phone Number: | 3123434339 |
| Fax Number: | 7083450147 |
| NPI Enumeration Date: | 05/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Continuing Education/Staff Development |
| Taxonomy Definition: | |