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1043845027
ROSS MAMARIL
CHICAGO, IL
NPI
1043845027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.020575)
Enumeration Date
2020-03-10
Last Update Date
2020-03-10
Business Address
ROSS MAMARIL FNP
4815 S WESTERN BLVD
CHICAGO, IL 60609-4067
Phone number: 773-927-4200
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Mailing Address
ROSS MAMARIL FNP
5132 N ELSTON AVE
CHICAGO, IL 60630-2429
Phone number: 847-235-6130
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