Individual
MCKENNA GANCARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-6160
Mailing address
5007 W ARGYLE ST, CHICAGO, IL 60630-2306
(847) 217-3065
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209.030255
IL
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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