Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Sep 20, 2006
License(s)
277001848 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 700 W MELROSE ST | Chicago, IL 60657-3418 | 773-230-4323 |
| LOCATION | 111 W JACKSON BLVD | Chicago, IL 60604-3589 | 877-279-5960 |
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