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1063867760
ANNABELLA VIDAL-RUIZ
CHICAGO, IL
NPI
1063867760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL 209014250)
Enumeration Date
2016-05-01
Last Update Date
2024-08-26
Business Address
ANNABELLA VIDAL-RUIZ PMHNP
1431 N WESTERN AVE STE 306
CHICAGO, IL 60622-1775
Phone number: 312-445-0995
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Mailing Address
ANNABELLA VIDAL-RUIZ PMHNP
PO BOX 47304
CHICAGO, IL 60647-0005
Phone number:
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