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1801979000
LISA YOUNG
CHICAGO, IL
NPI
1801979000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209-001713)
Enumeration Date
2006-10-23
Last Update Date
2012-10-22
Business Address
-- LISA YOUNG
11 E 75TH ST
CHICAGO, IL 60619-1601
Phone number: 866-825-3227
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Mailing Address
-- LISA YOUNG
161 WASHINGTON ST EIGHT TOWER BRIDGE, SUITE 1400
CONSHOHOCKEN, PA 19428-2083
Phone number: 866-825-3227
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