STACI GORSON

CHICAGO, IL
NPI1306274022
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209010800)
Enumeration Date2013-10-15
Last Update Date2021-01-15
Business Address
STACI GORSON FNP-BC
1455 N MILWAUKEE AVE FL 2
CHICAGO, IL 60622-2015
Phone number: 773-435-9036
Mailing Address
STACI GORSON FNP-BC
PO BOX 14000
BELFAST, ME 04915-4033
Phone number: 773-435-9036
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