CAROLLE M DERRADJI

CHICAGO, IL
NPI1265033385
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.022245)
Enumeration Date2020-11-04
Last Update Date2020-11-04
Business Address
CAROLLE M DERRADJI
3256 W POTOMAC AVE
CHICAGO, IL 60651-2411
Phone number: 708-280-6164
Mailing Address
CAROLLE M DERRADJI
3256 W POTOMAC AVE
CHICAGO, IL 60651-2411
Phone number:
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