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1639858319
CHA-GA BULLOCK
OAK LAWN, IL
NPI
1639858319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209027433)
Enumeration Date
2023-07-11
Last Update Date
2023-12-14
Business Address
Mrs. CHA-GA BULLOCK FNP-BC
4400 W 95TH ST STE 310
OAK LAWN, IL 60453-2660
Phone number: 708-684-9230
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Mailing Address
Mrs. CHA-GA BULLOCK FNP-BC
29373 NETWORK PL
CHICAGO, IL 60673-2660
Phone number: 847-390-5900
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