Individual
MRS. ANGELA DAWN EHMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-4150
Mailing address
317 WISCONSIN AVE, 1A, OAK PARK, IL 60302-5516
(614) 506-3252
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
PENDING
IL
Other
Enumeration date
09/13/2009
Last updated
09/13/2009
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