Individual
URSULA S CANLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1801 W TAYLOR ST, SUITE 1E, CHICAGO, IL 60612-4795
(312) 413-7605
(312) 355-1515
Mailing address
1801 W TAYLOR ST, CHICAGO, IL 60612-4795
(312) 413-7605
(312) 355-1515
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-006360
IL
Other
Enumeration date
03/02/2007
Last updated
04/20/2015
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