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Individual

DR. AELEAH LANE MOCKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, CRNA

Contact information

Practice address
5700 SOUTH MARYLAND AVE, CHICAGO, IL 60637-1426
(219) 916-5549
Mailing address
1801 WEST ARGYLE STREET, APT 501, CHICAGO, IL 60640-6419
(219) 916-5549

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.460864
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.030868
IL

Other

Enumeration date
10/29/2024
Last updated
10/29/2024
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