Individual
JOAN ANNETTE OLLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2100 E 87TH ST, CHICAGO, IL 60617-3011
(773) 768-5000
(773) 978-8367
Mailing address
4233 W 76TH ST APT 201, CHICAGO, IL 60652-1244
(773) 677-4092
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041260739
IL
363LF0000X
Family Nurse Practitioner
Primary
209017595
IL
Other
Enumeration date
07/08/2019
Last updated
08/07/2024
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