Individual
MRS. MAUREEN ANN NITSCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5635 STATE RD, BURBANK, IL 60459-2051
(708) 424-9200
Mailing address
10841 S WASHTENAW AVE, CHICAGO, IL 60655-1730
(773) 233-7083
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
IL
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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