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1801888193
DIANE JUDGE
CHICAGO, IL
NPI
1801888193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 309000612)
Enumeration Date
2005-08-22
Last Update Date
2015-03-16
Business Address
-- DIANE JUDGE NP
1015 W LAWRENCE AVE
CHICAGO, IL 60640-5017
Phone number: 773-751-1704
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Mailing Address
-- DIANE JUDGE NP
1015 W LAWRENCE AVE
CHICAGO, IL 60640-5017
Phone number: 773-751-1704
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