Individual
MALLARI SOJOU PEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2045 W WASHINGTON BLVD, CHICAGO, IL 60612-2428
(312) 996-2000
Mailing address
533 E 33RD PL APT 505, CHICAGO, IL 60616-4164
(617) 763-7994
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.008468
IL
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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