Individual
DELISSA DOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6508 S ELLIS AVE APT 2, CHICAGO, IL 60637-4248
(773) 908-2007
Mailing address
6508 S ELLIS AVE APT 2, CHICAGO, IL 60637-4248
(773) 908-2007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041398292
IL
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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