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1780157602
WELL-ROOTED PEDIATRICS LLC
CRYSTAL LAKE, IL
NPI
1780157602
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Entity Type
Organization
Authorized Contact
JESSICA PAWLICKI
Ap RN, Fnp C
815-529-1201
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2019-01-03
Last Update Date
2019-01-03
Business Address
WELL-ROOTED PEDIATRICS LLC
820 E TERRA COTTA AVE STE 132
CRYSTAL LAKE, IL 60014-3655
Phone number: 815-322-9300
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Mailing Address
WELL-ROOTED PEDIATRICS LLC
820 E TERRA COTTA AVE STE 132
CRYSTAL LAKE, IL 60014-3655
Phone number:
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