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1811660533
EDWARD GENE UNRUH
CHICAGO, IL
NPI
1811660533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner Primary Care
(Licence: IL 209023162)
Enumeration Date
2021-07-28
Last Update Date
2021-07-28
Business Address
EDWARD GENE UNRUH AGNP-C
5758 S MARYLAND AVE
CHICAGO, IL 60637-1426
Phone number: 855-702-8222
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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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