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1437812203
JI NA KHANANISHO
CHICAGO, IL
NPI
1437812203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 041464552)
Enumeration Date
2021-10-19
Last Update Date
2022-09-02
Business Address
JI NA KHANANISHO FNP
2720 W DIVISION ST
CHICAGO, IL 60622-2853
Phone number: 773-772-7858
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Mailing Address
JI NA KHANANISHO FNP
PO BOX 3603
OAK BROOK, IL 60522-3603
Phone number: 773-772-7858
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