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1992289599
LIAUW DEVI GUNAWAN
CHICAGO, IL
NPI
1992289599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.017128)
Enumeration Date
2018-09-19
Last Update Date
2018-09-19
Business Address
LIAUW DEVI GUNAWAN nurse practitioner
3412 W FULLERTON AVE
CHICAGO, IL 60647-2416
Phone number: 773-235-8000
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Mailing Address
LIAUW DEVI GUNAWAN nurse practitioner
8436 DRAKE AVE
SKOKIE, IL 60076-2800
Phone number: 847-329-0279
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