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1841680113
RODERICK WARREN
CHICAGO, IL
NPI
1841680113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209011922)
Enumeration Date
2015-01-26
Last Update Date
2019-12-30
Business Address
RODERICK WARREN APN
1015 W LAWRENCE AVE
CHICAGO, IL 60640-5017
Phone number: 773-275-2586
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Mailing Address
RODERICK WARREN APN
1015 W LAWRENCE AVE
CHICAGO, IL 60640-5017
Phone number: 737-275-2586
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