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1083173066
STEPHANIE SALAMANCA
CHICAGO, IL
NPI
1083173066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209018820)
Enumeration Date
2019-03-18
Last Update Date
2019-03-18
Business Address
STEPHANIE SALAMANCA
1025 W SUNNYSIDE AVE
CHICAGO, IL 60640-5684
Phone number: 773-935-6126
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Mailing Address
STEPHANIE SALAMANCA
7501 N OCONTO AVE
CHICAGO, IL 60631-4443
Phone number: 847-338-4030
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