Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Apr 12, 2024
License(s)
209028725 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1969 W OGDEN AVE | Chicago, IL 60612-3765 | 312-864-6000 |
| LOCATION | 1969 W OGDEN AVE | Chicago, IL 60612-3765 | 312-864-6000 |
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