Individual
JEAN CHELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
136 WILLIAM ST, SPRINGFIELD, MA 01105-2324
(800) 218-9280
Mailing address
136 WILLIAM ST, SPRINGFIELD, MA 01105-2324
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
041.309175
IL
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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