Individual
MS. ARLISA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
228 N HAMLIN BLVD, CHICAGO, IL 60624-2333
(773) 565-4174
Mailing address
228 N HAMLIN BLVD, CHICAGO, IL 60624-2333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016629
IL
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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