Individual
DULCIE JO SCHIPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
510 S CUYLER AVE APT 1, OAK PARK, IL 60304-1503
(312) 446-7804
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041332609
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209016963
IL
Other
Enumeration date
09/05/2017
Last updated
05/03/2021
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