Organization
UNIVERSITY OF CHICAGO MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA C FULLER APN (ACUTE CARE NURSE PRACTITIONER)
(505) 450-9185
Entity
Organization
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-1000
Mailing address
1529 S STATE ST, APT. 4L, CHICAGO, IL 60605-3011
(505) 450-9185
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
209014987
IL
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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