Individual
ALANA WICHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
MC 4076 5841 S. MARYLAND AVE, CHICAGO, IL 60637
(773) 702-6140
(773) 702-6969
Mailing address
5841 S. MARYLAND AVE, MC 4037, CHICAGO, IL 60637-3314
(773) 702-5006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041.400432
IL
Other
Enumeration date
11/12/2013
Last updated
02/18/2015
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