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1952424020
PATRICIA JEAN SHANLEY
CHICAGO, IL
NPI
1952424020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209001695)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
-- PATRICIA JEAN SHANLEY APN
836 W WELLINGTON AVE
CHICAGO, IL 60657-5147
Phone number: 773-296-3001
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Mailing Address
-- PATRICIA JEAN SHANLEY APN
1172 WENONAH AVE
OAK PARK, IL 60304-1837
Phone number: 708-383-1603
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