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Individual

CARRIE CULLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP

Contact information

Practice address
121 ROBERT P WEIDLING DR, WILMINGTON, IL 60481-1679
(815) 726-2200
Mailing address
121 ROBERT P WEIDLING DR, WILMINGTON, IL 60481-1679
(815) 726-2200

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.014421
IL

Other

Enumeration date
07/27/2016
Last updated
07/27/2016
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