Individual
MISS PATRICE ANN PIECHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
404 MADISON AVE., INGLESIDE, IL 60041
(847) 587-8521
Mailing address
26118 W GRAND AVE, INGLESIDE, IL 60041-8404
(847) 409-9765
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041-183331
IL
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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