Individual
MRS. CHRISTINE MACLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
1725 W HARRISON ST STE 117, CHICAGO, IL 60612-3848
(312) 942-6296
(312) 563-2201
Mailing address
1211 S PRAIRIE AVE APT 703, CHICAGO, IL 60605-3646
(155) 047-1516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11756
TN
363LF0000X
Family Nurse Practitioner
Primary
209.016382
IL
Other
Enumeration date
07/03/2006
Last updated
11/04/2019
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