Individual
MS. CHRISTINE NANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 W 109TH ST, CHICAGO, IL 60628-3432
(708) 953-0527
Mailing address
243 E 142ND ST, DOLTON, IL 60419-1107
(708) 953-0527
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041488243
IL
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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