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Individual

MRS. MICHELLE GAA ORTEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN/CNP

Contact information

Practice address
731 S. IL ROUTE 21, SUITE 130, GURNEE, IL 60031
(847) 566-3337
(847) 816-3166
Mailing address
731 S. IL ROUTE 21, SUITE 130, GURNEE, IL 60031
(847) 566-3337
(847) 816-3166

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209005095
IL

Other

Enumeration date
07/17/2006
Last updated
10/27/2017
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