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Individual

MRS. ELZBIETA MARLENA CAROTHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNP

Contact information

Practice address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 695-4965
(312) 695-5774
Mailing address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 695-4965
(312) 695-5774

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209009561
IL
363L00000X
Nurse Practitioner
Primary
277003623
IL
364SF0001X
Family Health Clinical Nurse Specialist
719437
TX

Other

Enumeration date
07/06/2011
Last updated
04/10/2025
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