Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Apr 24, 2024
License(s)
209.029596 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 5600 W ADDISON ST LOWR 1LL | Chicago, IL 60634-4444 | 773-202-9622 |
| MAILING | 5600 W ADDISON ST LOWR 1LL | Chicago, IL 60634-4444 | 773-202-9622 |
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