Individual
MRS. CHRISTINE MAUREEN PALICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3800 W 203RD ST STE 203, OLYMPIA FIELDS, IL 60461-1190
(708) 747-4000
(708) 503-3841
Mailing address
3800 W 203RD ST STE 203, OLYMPIA FIELDS, IL 60461-1190
(708) 747-4000
(708) 503-3841
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
28106899A
IN
363LF0000X
Family Nurse Practitioner
Primary
209007612
IL
363LF0000X
Family Nurse Practitioner
71002988A
IN
Other
Enumeration date
10/31/2008
Last updated
02/10/2010
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