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1235785809
SHAMMONA CLARK
CHICAGO, IL
NPI
1235785809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209020109)
Enumeration Date
2019-08-09
Last Update Date
2023-08-17
Business Address
SHAMMONA CLARK FNP-C
2600 S MICHIGAN AVE STE LLD
CHICAGO, IL 60617-3512
Phone number: 312-866-4642
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Mailing Address
SHAMMONA CLARK FNP-C
2600 S MICHIGAN AVE STE LLD
CHICAGO, IL 60616
Phone number: 312-866-4642
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