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1063155547
SUSAN EBA NSO
CHICAGO, IL
NPI
1063155547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: IL 209024964)
Enumeration Date
2022-04-14
Last Update Date
2022-04-14
Business Address
SUSAN EBA NSO
213 N MORGAN ST
CHICAGO, IL 60607-1739
Phone number: 312-888-2986
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Mailing Address
SUSAN EBA NSO
2243 KEATING DR
AURORA, IL 60503-7612
Phone number: 630-723-9786
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