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1457986929
CHANELLE CHRISTINE BATES
CHICAGO, IL
NPI
1457986929
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Former Name
CHANELLE CHRISTINE MACLIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209020978)
Enumeration Date
2020-03-05
Last Update Date
2023-04-21
Business Address
CHANELLE CHRISTINE BATES APN
1203 W AUGUSTA BLVD STE 1
CHICAGO, IL 60642-4327
Phone number: 773-248-2255
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Mailing Address
CHANELLE CHRISTINE BATES APN
504 E KANSAS ST
PEORIA, IL 61603-2554
Phone number: 904-729-8022
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