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1225806110
KELLY MASULA
CHICAGO, IL
NPI
1225806110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209027496)
Enumeration Date
2023-12-19
Last Update Date
2023-12-19
Business Address
KELLY MASULA NP
1147 S WABASH AVE STE 200
CHICAGO, IL 60605-2348
Phone number: 312-929-9191
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Mailing Address
KELLY MASULA NP
0S553 FOREST ST
WINFIELD, IL 60190-1541
Phone number: 858-524-4414
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