Individual
EVE PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
33 E, 114TH STREET, CHICAGO, IL 60628
(773) 660-4630
(773) 660-4650
Mailing address
33 E. 114THST., CHICAGO, IL 60628
(773) 660-4630
(773) 660-4650
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.170670
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
309.004485
IL
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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