Individual
MAGGIE GIDDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4318 S STATE ST, CHICAGO, IL 60609-3701
(773) 285-9304
(773) 564-3501
Mailing address
3030 CHICAGO RD, STEGER, IL 60475-1055
(708) 300-6692
(708) 756-3065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016970
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017024054
BOARD CERTIFICATION
IL
Enumeration date
04/20/2018
Last updated
12/11/2019
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