Individual
MS. VENITA ROCHELLE FLUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8127 S LOOMIS BLVD, 1900 W.POLK SUITE 500, CHICAGO, IL 60620-3859
(312) 864-5900
(312) 864-9579
Mailing address
8127 S LOOMIS BLVD, CHICAGO, IL 60620-3859
(773) 994-9203
(312) 864-5921
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
85001970
IL
363A00000X
Physician Assistant
Primary
085-001970
IL
Other
Enumeration date
04/02/2007
Last updated
04/23/2021
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