Individual
JHOANNA GULMATICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1501 S CALIFORNIA AVE, K588B, CHICAGO, IL 60608-1732
(773) 542-2000
Mailing address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(773) 542-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209013862
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7391
—
IL
Enumeration date
08/03/2016
Last updated
09/23/2016
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