Individual
DEBRA ILCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5651 N 7TH ST, PHOENIX, AZ 85014-2500
(602) 263-4274
Mailing address
5651 N 7TH ST, PHOENIX, AZ 85014-2500
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP2020
AZ
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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