Individual
MS. CAROLYN JEAN PAIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
641 W 63RD ST, CHICAGO, IL 60621-2032
(312) 747-8900
Mailing address
641 W 63RD ST, CHICAGO, IL 60621-2032
(312) 747-8900
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209002060
IL
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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