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Organization
ADVANCED PRACTICE NETWORK, LLC
Active
Organization
ADVANCED PRACTICE NETWORK, LLC
Active
Other names
Advanced Practice Network, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA LAVETTE MARTIN FNP-BC (PRESIDENT)
(773) 709-6679
Entity
Organization
Contact information
Practice address
1444 W 74TH ST, CHICAGO, IL 60636-4028
(773) 709-6679
Mailing address
1444 W 74TH ST, CHICAGO, IL 60636-4028
(773) 709-6679
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154820413
NPI TYPE 1
IL
Enumeration date
10/12/2022
Last updated
05/17/2023
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