Individual
MARY DE LANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5000
Mailing address
4112 COVE LN APT C, GLENVIEW, IL 60025-3576
(224) 388-0190
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.485638
IL
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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