Individual
GWEN M CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
675 N SAINT CLAIR ST, 17TH FLOOR, CHICAGO, IL 60611-5975
(312) 695-5620
Mailing address
675 N SAINT CLAIR ST, 17TH FLOOR, CHICAGO, IL 60611-5975
(312) 695-5620
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209011722
IL
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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