Individual
NANCY J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
675 N SAINT CLAIR ST, SUITE 21-100, CHICAGO, IL 60611-5975
(312) 695-0990
(312) 695-6870
Mailing address
675 N SAINT CLAIR ST, SUITE 21-100, CHICAGO, IL 60611-5975
(312) 695-0990
(312) 695-6870
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209-007556
IL
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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