Individual
ADDILA MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209031305
IL
363LA2100X
Acute Care Nurse Practitioner
431996
NY
Other
Enumeration date
08/11/2021
Last updated
04/22/2025
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