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Individual

GIFTY ADDISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3505 GREEN BAY RD APT 206B, NORTH CHICAGO, IL 60064-3630
(614) 674-1121
Mailing address
3505 GREEN BAY RD APT 206B, NORTH CHICAGO, IL 60064-3630
(614) 674-1121

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/03/2025
Last updated
03/03/2025
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