Organization
ST. BERNARD HOSPITAL AMBULATORY CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BIAISHA YUTRINA WASHINGTON NP-C (ADVANCED NURSE PRACTITIONER)
(773) 962-3975
Entity
Organization
Contact information
Practice address
6307 S STEWART, CHICAGO, IL 60621
(773) 962-3975
(773) 962-4252
Mailing address
7634 S PRAIRIE AVE, CHICAGO, IL 60619-2418
(773) 962-3975
(773) 962-4252
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
209.015904
IL
Other
Enumeration date
04/21/2017
Last updated
05/03/2017
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