Individual
ALICIA SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-C
Contact information
Practice address
7051 SUNSET AVE, COUNTRYSIDE, IL 60525-4825
(773) 992-8704
Mailing address
7051 SUNSET AVE, COUNTRYSIDE, IL 60525-4825
(773) 992-8704
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PMH11240045
IL
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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