Individual
LORI SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
10837 S. CICERO, SUITE 320, ADULT PRIMARY CARE CENTER, LTD., OAK LAWN, IL 60453
(708) 636-1601
Mailing address
10837 S. CICERO, SUITE 320, ADULT PRIMARY CARE CENTER, LTD., OAK LAWN, IL 60453
(708) 636-1601
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209-012886
IL
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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