CHA-GA BULLOCK

OAK LAWN, IL
NPI1639858319
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209027433)
Enumeration Date2023-07-11
Last Update Date2023-12-14
Business Address
Mrs. CHA-GA BULLOCK FNP-BC
4400 W 95TH ST STE 310
OAK LAWN, IL 60453-2660
Phone number: 708-684-9230
Mailing Address
Mrs. CHA-GA BULLOCK FNP-BC
29373 NETWORK PL
CHICAGO, IL 60673-2660
Phone number: 847-390-5900