Individual
ADDISON CHASE KIRKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-1000
Mailing address
3940 N JANSSEN AVE APT E, CHICAGO, IL 60613-2624
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.030959
IL
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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