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Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist Adult Health

Provider NPI: 1730204686

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
2650 RIDGE AVE  EVANSTON, IL 60201-1718 US
Tel: 847-570-1700  Fax: --

Business Mailing Address:
2650 RIDGE AVE  EVANSTON, IL 60201-1718 US
Tel: 847-570-1700  Fax: --

NPI Information:
NPI: 1730204686
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y364SA2200XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
Adult Health

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 364SA2200X





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