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1013422799
STACY MCCOURT
CHICAGO, IL
NPI
1013422799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.015874)
Enumeration Date
2017-12-04
Last Update Date
2017-12-04
Business Address
Mrs. STACY MCCOURT NP
1133 W ARMITAGE AVE
CHICAGO, IL 60614-4103
Phone number: 773-529-5277
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Mailing Address
Mrs. STACY MCCOURT NP
1641 N NORTH PARK AVE APT 2R
CHICAGO, IL 60614-5788
Phone number: 734-716-0235
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