ANDREA DENISE POWELL

CHICAGO, IL
NPI1689298267
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209021507)
Enumeration Date2020-05-30
Last Update Date2021-03-16
Business Address
ANDREA DENISE POWELL
3510 W 79TH ST
CHICAGO, IL 60652-1430
Phone number: 773-978-0757
Mailing Address
ANDREA DENISE POWELL
3510 W 79TH ST
CHICAGO, IL 60652-1430
Phone number: 773-978-0757