Individual
MICHELLE ANN ABSOLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2019 W TOUHY AVE, CHICAGO, IL 60645-2405
(738) 447-1957
Mailing address
2019 W TOUHY AVE, CHICAGO, IL 60645-2405
(738) 447-1957
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
041333860
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209.007096
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209007096
—
IL
Enumeration date
04/27/2009
Last updated
06/29/2023
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