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1407560287
RON MEDINA
CHICAGO, IL
NPI
1407560287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.026387)
Enumeration Date
2023-01-06
Last Update Date
2024-03-14
Business Address
RON MEDINA FNP-BC
5140 N CALIFORNIA AVE
CHICAGO, IL 60625-3645
Phone number: 773-878-8200
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Mailing Address
RON MEDINA FNP-BC
5145 N CALIFORNIA AVE
CHICAGO, IL 60625-3661
Phone number: 773-878-8200
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