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Individual

MS. ANGELICA MARIA PUCHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(855) 444-7258
Mailing address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(855) 444-7258

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209026994
IL

Other

Enumeration date
05/10/2013
Last updated
04/08/2025
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