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1811687312
ELISSA ALSUP
CHICAGO, IL
NPI
1811687312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: IL 041379530)
Enumeration Date
2023-05-09
Last Update Date
2023-05-09
Business Address
ELISSA ALSUP RN
320 E 21ST ST
CHICAGO, IL 60616-3190
Phone number: 773-340-0822
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Mailing Address
ELISSA ALSUP RN
4000 W MONTROSE AVE # 901
CHICAGO, IL 60641-2140
Phone number: 773-340-0822
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