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1508482035
ELLA SHIN
CHICAGO, IL
NPI
1508482035
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Former Name
ELLA SUSANNA WAGNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209023655)
Enumeration Date
2020-06-20
Last Update Date
2024-05-30
Business Address
ELLA SHIN DNP-FNP
1945 N HALSTED ST 101
CHICAGO, IL 60614
Phone number: 872-245-6863
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Mailing Address
ELLA SHIN DNP-FNP
1945 N HALSTED ST 101
CHICAGO, IL 60614
Phone number: 872-245-6863
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