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Individual
CHELSEA POULOS
Active
Individual
CHELSEA POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CPNP-AC
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
209.025172
IL
2088P0231X
Pediatric Urology Physician
209.025172
IL
363LA2100X
Acute Care Nurse Practitioner
209.025172
IL
363LF0000X
Family Nurse Practitioner
209.025172
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
209025172
IL
Other
Enumeration date
07/01/2022
Last updated
07/07/2026
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