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Organization
ESSENTIAL HEALTHNP LLC
Active
Organization
ESSENTIAL HEALTHNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE Q WILSON APN (OWNER)
(312) 590-1975
Entity
Organization
Contact information
Practice address
2315 E 93RD ST STE 339, CHICAGO, IL 60617-3916
(312) 590-1975
Mailing address
8833 S CRANDON AVE, CHICAGO, IL 60617-3051
(312) 590-1975
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
04/21/2023
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