THERESE DENECKE-DATTALO

CHICAGO, IL
NPI1770660243
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  041-188437)
Enumeration Date2006-11-01
Last Update Date2009-06-30
Business Address
-- THERESE DENECKE-DATTALO NP
675 N SAINT CLAIR ST GALTER 18-200
CHICAGO, IL 60611-5975
Phone number: 312-695-8630
Mailing Address
-- THERESE DENECKE-DATTALO NP
680 N LAKE SHORE DR SUITE 1000
CHICAGO, IL 60611-4546
Phone number: 312-695-8630
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