PROVIDER STAT PLLC

CHICAGO, IL
NPI1487372546
Entity TypeOrganization
Authorized ContactDINA ZIMMERMAN
Owner
312-308-0219
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2022-08-16
Last Update Date2023-01-16
Business Address
PROVIDER STAT PLLC
6374 N LINCOLN AVE STE 312
CHICAGO, IL 60659-1224
Phone number: 312-308-0219
Mailing Address
PROVIDER STAT PLLC
6374 N LINCOLN AVE STE 312
CHICAGO, IL 60659-1224
Phone number:
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