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1760791917
MELISSA J RICHARDSON
CHICAGO, IL
NPI
1760791917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209008300)
Enumeration Date
2010-10-05
Last Update Date
2019-09-12
Business Address
MELISSA J RICHARDSON FNP
1165 N CLARK ST
CHICAGO, IL 60610-2702
Phone number: 866-389-2727
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Mailing Address
MELISSA J RICHARDSON FNP
415 HOWARD ST APT 816
EVANSTON, IL 60202-4007
Phone number: 815-298-7382
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