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1104219427
JIMMUEL PLAZA
CHICAGO, IL
NPI
1104219427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209012400)
Enumeration Date
2015-03-11
Last Update Date
2015-03-11
Business Address
Mr. JIMMUEL PLAZA MSN, APN, FNP-BC
676 N ST. CLAIR SUITE 800 NORTHWESTERN MEDICAL GROUP
CHICAGO, IL 60611
Phone number: 773-988-3224
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Mailing Address
Mr. JIMMUEL PLAZA MSN, APN, FNP-BC
5648 N RIDGE AVE APT 1W
CHICAGO, IL 60660-5521
Phone number: 773-988-3224
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