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Individual

AMA SLAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
501 E 51ST ST, CHICAGO, IL 60615-2405
(312) 864-0200
Mailing address
8016 S EBERHART AVE APT 2, CHICAGO, IL 60619-4689
(224) 623-9125

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209.029975
IL

Other

Enumeration date
12/28/2024
Last updated
12/28/2024
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