Individual
JOHN ALEXANDER PUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
836 W WELLINGTON AVE, NELSON BLDG. PROFESSIONAL DEVELOPMENT 1ST FLOOR, CHICAGO, IL 60657-5147
(773) 296-7295
(773) 296-8909
Mailing address
836 W WELLINGTON AVE, NELSON BLDG. PROFESSIONAL DEVELOPMENT 1ST FLOOR, CHICAGO, IL 60657-5147
(773) 296-7295
(773) 296-8909
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
209.007589
IL
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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