Individual
GINA V MEDALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-BC
Contact information
Practice address
233 N MICHIGAN AVE FL 10, CHICAGO, IL 60601-5517
(312) 424-5113
(312) 424-6518
Mailing address
233 N. MICHIGAN AVE. 10TH FLOOR, CHICAGO, IL 60601-5517
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209008579
IL
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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