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1043834435
PHYLLIS EGGLESTON
CHICAGO, IL
NPI
1043834435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209021337)
Enumeration Date
2020-06-02
Last Update Date
2020-12-15
Business Address
PHYLLIS EGGLESTON
9119 S EXCHANGE AVE
CHICAGO, IL 60617-4225
Phone number: 773-364-2206
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Mailing Address
PHYLLIS EGGLESTON
10159 S VERNON AVE
CHICAGO, IL 60628-2235
Phone number: 773-791-0019
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