Individual
JULIA MCCANN-KHLUDENEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
153 1/2 BROADWAY AVE., MELROSE PARK, IL 60160
(708) 345-8965
Mailing address
153 1/2 BROADWAY AVE, MELROSE PARK, IL 60160
(708) 345-8965
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71007559A
IN
Other
Enumeration date
10/17/2017
Last updated
05/10/2019
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