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Individual

ANNA M KRAMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5571 W 95TH ST, OAK LAWN, IL 60453-2356
(708) 422-2519
Mailing address
10433 S KOSTNER AVE, OAK LAWN, IL 60453-4813
(773) 507-5410

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.019321
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209.019321
STATE OF ILLINOIS
IL
Enumeration date
09/14/2020
Last updated
09/14/2020
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