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1720634462
FACILITY NP, PC
CHICAGO, IL
NPI
1720634462
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Entity Type
Organization
Authorized Contact
KIMBERLY R WILSON
President
773-217-0099
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2019-08-16
Last Update Date
2019-08-16
Business Address
FACILITY NP, PC
5132 N ELSTON AVE
CHICAGO, IL 60630-2429
Phone number: 773-217-0099
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Mailing Address
FACILITY NP, PC
5132 N ELSTON AVE
CHICAGO, IL 60630-2429
Phone number: 773-217-0099
Copy
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