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1639297302
LAURA WYATT
CHICAGO, IL
NPI
1639297302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-001182)
Enumeration Date
2007-03-27
Last Update Date
2021-05-04
Business Address
LAURA WYATT
500 E 51ST ST OFC 7021 PROVIDENT HOSPITAL OF COOK COUNTY
CHICAGO, IL 60615-2400
Phone number: 312-572-2647
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Mailing Address
LAURA WYATT
500 E 51ST ST OFC 7021 PROVIDENT HOSPITAL OF COOK COUNTY
CHICAGO, IL 60615-2400
Phone number:
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