Individual
ALISSA MARIE WINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1611 W HARRISON ST STE 400, CHICAGO, IL 60612-4861
(877) 632-6637
(708) 409-5179
Mailing address
1611 W HARRISON ST STE 400, CHICAGO, IL 60612-4861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041404716
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209019124
IL
363LP2300X
Primary Care Nurse Practitioner
71010167A
IN
Other
Enumeration date
04/04/2019
Last updated
08/30/2023
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