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1528756335
TONY TENNIS
CHICAGO, IL
NPI
1528756335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IL 209028290)
Enumeration Date
2023-04-28
Last Update Date
2023-11-27
Business Address
TONY TENNIS FNP-C
933 W DIVERSEY PKWY
CHICAGO, IL 60614-1439
Phone number: 312-445-8805
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Mailing Address
TONY TENNIS FNP-C
4334 N HAZEL ST APT 1011
CHICAGO, IL 60613-1465
Phone number: 724-350-7530
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