Individual
MS. LORETTA A MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-C APN
Contact information
Practice address
1701 W. SUPERIOR AVE, CHICAGO, IL 60622-5646
(312) 666-3494
(312) 666-6228
Mailing address
3848 N HOYNE AVE, CHICAGO, IL 60618-3908
(773) 549-3791
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-002500
IL
Other
Enumeration date
10/14/2006
Last updated
07/08/2007
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