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Individual

MS. ALICA KELLY BARTLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
1020 11TH AVE, GREAT LAKES, IL 60088-3102
(847) 688-5568
(847) 688-4413
Mailing address
4298 NEW HAVEN AVE, GURNEE, IL 60031-5805
(847) 688-5568
(847) 688-4413

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
561349
TX

Other

Enumeration date
10/27/2005
Last updated
07/08/2007
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