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Individual

ALYSSA TUCIBAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
155 S CHICAGO AVE APT 110, MUNDELEIN, IL 60060-2960
(847) 863-8815
Mailing address
155 S CHICAGO AVE APT 110, MUNDELEIN, IL 60060-2960

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
41518243
IL

Other

Enumeration date
12/01/2021
Last updated
12/01/2021
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