Individual
MARIA BENCHIE G CALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-8387
Mailing address
3407 LEE ST, SKOKIE, IL 60076-2435
(773) 627-9634
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041338526
IL
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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