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Individual

NANCY MARIA MULE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2320 W PETERSON AVE, CHICAGO, IL 60659-5242
(773) 508-9800
(773) 508-1796
Mailing address
2320 W PETERSON AVE, CHICAGO, IL 60659-5242
(773) 508-9800
(773) 508-1796

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004139
IL

Other

Enumeration date
09/23/2011
Last updated
04/26/2016
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