Individual
ANDREA PABON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 W HARRISON ST STE 161, CHICAGO, IL 60612-3861
(312) 942-4252
Mailing address
1725 W HARRISON ST STE 161, CHICAGO, IL 60612-3861
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209.027241
IL
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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