Organization
LEAP 4 HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYRA L. DEAN-OUSLEY FNP (PRESIDENT)
(773) 425-9946
Entity
Organization
Contact information
Practice address
11228 S EMERALD AVE, CHICAGO, IL 60628-4707
(773) 425-9946
(773) 825-8320
Mailing address
11228 S EMERALD AVE, CHICAGO, IL 60628-4707
(773) 425-9946
(773) 825-8320
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
05/05/2023
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