Individual
MRS. NELLY RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4150 W 55TH ST, CHICAGO, IL 60632-4242
(312) 747-1020
Mailing address
11905 S LAWNDALE AVE, B3, ALSIP, IL 60803-3608
(708) 703-6518
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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