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1780269084
AYANA A ISHAM
CHICAGO, IL
NPI
1780269084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: IL 209021473)
Enumeration Date
2021-03-17
Last Update Date
2024-11-21
Business Address
AYANA A ISHAM AGNP
2003 W FULTON ST
CHICAGO, IL 60612-2345
Phone number: 312-243-2223
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Mailing Address
AYANA A ISHAM AGNP
2003 W FULTON ST
CHICAGO, IL 60612-2345
Phone number: 312-243-2223
Copy
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