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1245758580
COREY WENDELL SHUMATE
CHICAGO, IL
NPI
1245758580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL 209.016033)
Enumeration Date
2017-09-07
Last Update Date
2018-07-09
Business Address
Mr. COREY WENDELL SHUMATE APN, PMHNP-BC
2701 W 68TH ST
CHICAGO, IL 60629
Phone number: 773-884-9000
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Mailing Address
Mr. COREY WENDELL SHUMATE APN, PMHNP-BC
2701 W 68TH ST
CHICAGO, IL 60629-1882
Phone number: 773-884-7640
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