Individual
TERI DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1725 W HARRISON ST, SUITE 1010, CHICAGO, IL 60612-3841
(312) 942-5904
Mailing address
1725 W HARRISON ST, SUITE 1010, CHICAGO, IL 60612-3841
(312) 942-5904
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-000478
IL
Other
Enumeration date
09/29/2006
Last updated
08/02/2024
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