LINDA GEORGETTE BOULWARE

CHICAGO, IL
NPI1063000669
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.022606)
Enumeration Date2021-01-08
Last Update Date2021-01-08
Business Address
Mrs. LINDA GEORGETTE BOULWARE APRN
2045 W GRAND AVE STE B
CHICAGO, IL 60612-1577
Phone number: 888-660-4425
Mailing Address
Mrs. LINDA GEORGETTE BOULWARE APRN
1591 ABBOTT ST
CARLYLE, IL 62231-1107
Phone number: 618-741-8431
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