Individual
MS. CHELSEA ALYSSE BIANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
9977 WOODS DR, SKOKIE, IL 60077-1057
(224) 364-2273
Mailing address
9977 WOODS DR, SKOKIE, IL 60077-1057
(224) 364-2273
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041426197
IL
363L00000X
Nurse Practitioner
Primary
2019034346
MO
363L00000X
Nurse Practitioner
209.017623
IL
Other
Enumeration date
08/16/2018
Last updated
02/06/2024
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