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Individual

SERENA GHAZALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN-CNP

Contact information

Practice address
2652 W OGDEN AVE, CHICAGO, IL 60608-1617
(773) 542-2000
Mailing address
2638 W OGDEN AVE, CHICAGO, IL 60608
(312) 527-5400

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209027092
IL
363LP2300X
Primary Care Nurse Practitioner
209027092
IL

Other

Enumeration date
05/17/2023
Last updated
11/01/2024
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