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1205063302
CHARISSE DIMARIA
AURORA, IL
NPI
1205063302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209007616)
Enumeration Date
2009-06-16
Last Update Date
2022-07-29
Business Address
CHARISSE DIMARIA APN
1207 N RANDALL RD
AURORA, IL 60506-1325
Phone number: 800-323-8622
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Mailing Address
CHARISSE DIMARIA APN
29373 NETWORK PL
CHICAGO, IL 60673-9851
Phone number: 847-390-5900
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