Individual
MISS CHINNAMMA CHRETIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-6780
Mailing address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
209006118
IL
163WP2201X
Ambulatory Care Registered Nurse
NS11421
OH
Other
Enumeration date
07/08/2010
Last updated
08/05/2014
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