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1114269784
ERICA TAYABAN
CHICAGO, IL
NPI
1114269784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209009992)
Enumeration Date
2013-03-21
Last Update Date
2013-03-21
Business Address
-- ERICA TAYABAN
645 N MICHIGAN AVE SUITE 530
CHICAGO, IL 60611-2826
Phone number: 312-695-7970
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Mailing Address
-- ERICA TAYABAN
4303 N PAULINA ST APT 2
CHICAGO, IL 60613-2499
Phone number: 630-750-8459
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