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Individual

CAILIAN MO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 470-3735
Mailing address
3834 S HERMITAGE AVE, CHICAGO, IL 60609-2006
(773) 470-3735

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
041411039
IL
363LF0000X
Family Nurse Practitioner
209015537
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277001664
IL

Other

Enumeration date
02/06/2017
Last updated
03/23/2026
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