Individual
NANCY R G CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10735 S CICERO AVE, SUITE 100, OAK LAWN, IL 60453-5400
(708) 581-5866
(708) 581-5877
Mailing address
10735 S CICERO AVE, SUITE 100, OAK LAWN, IL 60453-5400
(708) 581-5866
(708) 581-5877
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-085259
IL
Other
Enumeration date
10/19/2006
Last updated
12/15/2021
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