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1780109876
JENNY MAY SHOOP
CHICAGO, IL
NPI
1780109876
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner Primary Care
(Licence: IL 209.016277)
Enumeration Date
2017-08-09
Last Update Date
2017-08-09
Business Address
JENNY MAY SHOOP
225 E CHICAGO AVE
CHICAGO, IL 60611-2991
Phone number: 309-323-3072
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Mailing Address
JENNY MAY SHOOP
225 E CHICAGO AVE
CHICAGO, IL 60611-2991
Phone number:
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