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1053772020
FRONTIER HEALTHCARE SYSTEMS OF ILLINOIS LLC
DOWNERS GROVE, IL
NPI
1053772020
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Entity Type
Organization
Authorized Contact
LETASHA LEWIS
Owner
901-283-4011
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2016-03-17
Last Update Date
2023-11-09
Business Address
FRONTIER HEALTHCARE SYSTEMS OF ILLINOIS LLC
900 OGDEN AVE # 335
DOWNERS GROVE, IL 60515-2829
Phone number: 708-234-0388
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Mailing Address
FRONTIER HEALTHCARE SYSTEMS OF ILLINOIS LLC
900 OGDEN AVE # 335
DOWNERS GROVE, IL 60515-2829
Phone number: 708-234-0388
Copy
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