Individual
MISS VIRGINIA SY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-5437
Mailing address
400 W DEMING PL APT 3G, CHICAGO, IL 60614-1703
(773) 296-5437
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
IL
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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