Organization
TOTAL JOINT VENTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA A SEMANIK PHD APN (OWNER/OPERATOR)
(312) 343-8372
Entity
Organization
Contact information
Practice address
1415 W FOSTER AVE, GROUND FLOOR, CHICAGO, IL 60640-2288
(312) 343-8372
(708) 406-1544
Mailing address
1415 W FOSTER AVE, GROUND FLOOR, CHICAGO, IL 60640-2288
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/16/2012
Last updated
11/20/2013
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