Individual
LAINE MERCEDES LEE NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2550 W ADDISON ST, CHICAGO, IL 60618-5952
(773) 281-2217
Mailing address
2550 W ADDISON ST, CHICAGO, IL 60618-5952
(773) 281-2217
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.022928
IL
Other
Enumeration date
06/29/2021
Last updated
07/09/2021
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