Individual
ANDRA IOANA MINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2017 W 95TH ST, CHICAGO, IL 60643-1115
(773) 779-2800
Mailing address
670 WINSTON DR, MELROSE PARK, IL 60160-2351
(708) 516-4211
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209025422
IL
Other
Enumeration date
07/11/2022
Last updated
09/13/2024
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