Individual
CAROLINE HAUGHEY DUBORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
675 N SAINT CLAIR ST STE 19-250, CHICAGO, IL 60611-5964
(312) 695-6022
(312) 695-5672
Mailing address
675 N SAINT CLAIR ST STE 19-250, CHICAGO, IL 60611-5964
(312) 695-6022
(312) 695-5672
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041429204
IL
163WS0121X
Plastic Surgery Registered Nurse
041429204
IL
363L00000X
Nurse Practitioner
Primary
209.018088
IL
363LA2200X
Adult Health Nurse Practitioner
209.018088
IL
Other
Enumeration date
08/28/2018
Last updated
12/28/2019
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