Individual
VALERIE JEAN MATTHIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
734 W 47TH ST, CHICAGO, IL 60609-4411
(773) 537-3960
(773) 536-2460
Mailing address
UIC COLLEGE OF NURSING (MC802) 845 S. DAMEN AVENUE, ROOM 760, CHICAGO, IL 60612
(312) 996-1644
(312) 996-7725
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209003504
IL
Other
Enumeration date
01/23/2008
Last updated
02/07/2010
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