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1063885937
AMY FAYE THOMAS BASH
CHICAGO, IL
NPI
1063885937
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Former Name
AMY FAYE THOMAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209.011516)
Enumeration Date
2015-11-02
Last Update Date
2015-11-02
Business Address
-- AMY FAYE THOMAS BASH APN
2900 N LAKE SHORE DR
CHICAGO, IL 60657-5640
Phone number: 773-665-3200
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Mailing Address
-- AMY FAYE THOMAS BASH APN
2900 N LAKE SHORE DR
CHICAGO, IL 60657-5640
Phone number: 773-665-3200
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