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Organization

NP PRIMARY CARE S.C.

Active
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Organization

NP PRIMARY CARE S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANCA BULGARIU APN (OWNER)
(773) 772-8876
Entity
Organization

Contact information

Practice address
2002 N PULASKI RD, CHICAGO, IL 60639-3767
(773) 772-8876
Mailing address
2002 N PULASKI RD, CHICAGO, IL 60639-3767

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209006122
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
041296579
IL
Enumeration date
12/08/2015
Last updated
12/08/2015
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