Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Gerontology
Enumerated
May 23, 2024
License(s)
209.029605 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 6300 N LINCOLN AVENUE | Chicago, IL 60659 | 773-681-0260 |
| MAILING | 9010 MASON AVE | Morton Grove, IL 60053 | 733-822-9366 |
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