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Individual

AMIRA MATIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
259 E ERIE ST, CHICAGO, IL 60611-2987
(312) 695-6868
Mailing address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
(773) 768-6153

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041362154
IL

Other

Enumeration date
09/21/2016
Last updated
09/16/2019
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