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Individual

MARIE LOUISE O'LOUGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 60611
(312) 695-0990
(312) 695-6189
Mailing address
680 N. LAKE SHORE DRIVE, CHICAGO, IL 60611-2987
(312) 695-0990
(312) 695-6189

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.017419
IL

Other

Enumeration date
07/10/2018
Last updated
07/20/2018
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