Individual
DR. JOAN C MULLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 E CHICAGO AVE, SUITE 1050, CHICAGO, IL 60611-2637
(312) 944-6677
(312) 944-3346
Mailing address
211 E CHICAGO AVE, SUITE 1050, CHICAGO, IL 60611-2637
(312) 944-6677
(312) 944-3346
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036087186
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087186
—
IL
Enumeration date
08/31/2006
Last updated
07/08/2007
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