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Individual

ANJA ENSIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
3401 W ROOSEVELT RD, CHICAGO, IL 60624-4339
(866) 825-3227
Mailing address
161 WASHINGTON ST FL 14, EIGHT TOWER BRIDGE, SUITE 1400, CONSHOHOCKEN, PA 19428-2083
(866) 825-3227

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209011158
IL

Other

Enumeration date
05/20/2014
Last updated
05/20/2014
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