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1386750453
THERESE A LIEBENTRITT
CHICAGO, IL
NPI
1386750453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209000223)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
-- THERESE A LIEBENTRITT C.N.P.
7123 W ARCHER AVE
CHICAGO, IL 60638-2203
Phone number: 773-586-4506
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Mailing Address
-- THERESE A LIEBENTRITT C.N.P.
7123 W ARCHER AVE
CHICAGO, IL 60638-2203
Phone number: 773-586-4506
Copy
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