DERWANDER POWELL

CHICAGO, IL
NPI1578151361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209022580)
Enumeration Date2021-01-06
Last Update Date2021-01-06
Business Address
DERWANDER POWELL APRN
10343 S WESTERN AVE
CHICAGO, IL 60643-2410
Phone number: 773-238-2828
Mailing Address
DERWANDER POWELL APRN
441 W 96TH PL
CHICAGO, IL 60628-1143
Phone number: 773-457-2795
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