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Individual

ALICIA KEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
800 E 55TH ST, CHICAGO, IL 60615
(773) 702-0660
Mailing address
800 E 55TH ST, CHICAGO, IL 60615-4906
(773) 795-2260
(773) 834-3756

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209004601
IL

Other

Enumeration date
09/29/2006
Last updated
03/07/2023
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