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1780399055
DOUGLAS NYENKE
CHICAGO, IL
NPI
1780399055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL 209026907)
Enumeration Date
2023-01-20
Last Update Date
2024-07-05
Business Address
Mr. DOUGLAS NYENKE APRN, PMHNP-BC
2259 W TAYLOR ST
CHICAGO, IL 60612-4233
Phone number: 312-285-2982
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Mailing Address
Mr. DOUGLAS NYENKE APRN, PMHNP-BC
10525 S PROSPECT AVE
CHICAGO, IL 60643-2923
Phone number: 312-857-4475
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