Individual
MERLYN SERRANO CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2333
(312) 567-2000
Mailing address
1816 S INDIANA AVE, UNIT C, CHICAGO, IL 60616-2664
(312) 451-4094
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209008325
IL
Other
Enumeration date
12/31/2011
Last updated
12/31/2011
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