LIVE BOLD

CHICAGO, IL
NPI1699210708
Entity TypeOrganization
Authorized ContactALLISON BLOOD
Owner
978-877-0781
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209009533)
Enumeration Date2016-12-28
Last Update Date2016-12-28
Business Address
LIVE BOLD
33 W DELAWARE PL
CHICAGO, IL 60610-8115
Phone number: 978-877-0781
Mailing Address
LIVE BOLD
33 W DELAWARE PLACE
CHICAGO, IL 60610
Phone number:
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