VIOLET CORINNE BOOTHE WIERSUM

CHICAGO, IL
NPI1326791914
Former NameVIOLET BOOTHE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209025108)
Additional Taxonomies163WC0200X Registered Nurse, Critical Care Medicine
(Licence: IL  041421701)
363LA2100X Nurse Practitioner, Acute Care
(Licence: IL  209025108)
Enumeration Date2022-02-02
Last Update Date2022-09-21
Business Address
VIOLET CORINNE BOOTHE WIERSUM APRN, CNP
676 N SAINT CLAIR ST STE 14-044
CHICAGO, IL 60611-2927
Phone number: 312-908-8163
Mailing Address
VIOLET CORINNE BOOTHE WIERSUM APRN, CNP
676 N SAINT CLAIR ST STE 14-044
CHICAGO, IL 60611-2927
Phone number: 312-908-8163