Individual
CLARE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
201 E HURON ST STE 11-140, CHICAGO, IL 60611-2968
(312) 926-1711
(312) 926-4870
Mailing address
201 E HURON ST STE 11-140, CHICAGO, IL 60611-2968
(312) 926-1711
(312) 926-4870
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014930
IL
363LA2100X
Acute Care Nurse Practitioner
209.014930 041.3776
IL
Other
Enumeration date
10/06/2016
Last updated
07/17/2020
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