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Individual

CARRIE LYNN NUTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9416 SKOKIE BLVD, SKOKIE, IL 60077
(847) 673-4800
(847) 673-9322
Mailing address
1872 N CLYBOURN AVE APT 309, CHICAGO, IL 60614-4916
(773) 472-3834
(773) 472-3753

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01632553
BC/BS
Enumeration date
08/29/2006
Last updated
07/08/2007
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