EDWARD GENE UNRUH

CHICAGO, IL
NPI1811660533
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: IL  209023162)
Enumeration Date2021-07-28
Last Update Date2021-07-28
Business Address
EDWARD GENE UNRUH AGNP-C
5758 S MARYLAND AVE
CHICAGO, IL 60637-1426
Phone number: 855-702-8222
Mailing Address
EDWARD GENE UNRUH AGNP-C
5313 N KENMORE AVE APT 3B
CHICAGO, IL 60640-2583
Phone number: 847-404-5273
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