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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