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MRS. JANZE MARIUM ISSAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
1550 S INDIANA AVE STE 100, CHICAGO, IL 60605-4835
(845) 480-2862
Mailing address
650 S RIVER RD UNIT 404, DES PLAINES, IL 60016-8430
(845) 480-2862

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209017708
IL

Other

Enumeration date
02/05/2019
Last updated
05/07/2019
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