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1174802482
MICHELENE ELLEGOOD
MAYWOOD, IL
NPI
1174802482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209008945)
Enumeration Date
2011-08-04
Last Update Date
2013-02-25
Business Address
-- MICHELENE ELLEGOOD MSN, FNP-BC
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-9000
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Mailing Address
-- MICHELENE ELLEGOOD MSN, FNP-BC
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-9000
Copy
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