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1285187393
ANNETTE J MATA
CHICAGO, IL
NPI
1285187393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364SP0808X Clinical Nurse Specialist, Psych/Mental Health
(Licence: IL 209014473)
Enumeration Date
2016-07-26
Last Update Date
2022-03-08
Business Address
ANNETTE J MATA
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 888-824-0200
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Mailing Address
ANNETTE J MATA
150 HARVESTER DR SUITE 300
BURR RIDGE, IL 60527-5919
Phone number:
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