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1821233446
UTA J TICHAWA
CHICAGO, IL
NPI
1821233446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: IL 209.007356)
Enumeration Date
2008-12-10
Last Update Date
2008-12-10
Business Address
-- UTA J TICHAWA RN, APN-BC, ANP
1426 W IRVING PARK RD
CHICAGO, IL 60613-5698
Phone number: 773-925-4700
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Mailing Address
-- UTA J TICHAWA RN, APN-BC, ANP
1426 W IRVING PARK RD
CHICAGO, IL 60613-5698
Phone number: 773-925-4700
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