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Individual

CARA ANNE LOCKLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
2200 W TOUHY AVE, CHICAGO, IL 60645-3412
(773) 751-1875
Mailing address
1672 W HOLLYWOOD AVE, APT 1W, CHICAGO, IL 60660-4013
(734) 395-8344

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.414087
IL
363LF0000X
Family Nurse Practitioner
Primary
209.015506
IL

Other

Enumeration date
01/31/2017
Last updated
01/31/2017
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