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Individual

PROF. PAMELA SEMANIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP, APN, PHD

Contact information

Practice address
1415 W FOSTER AVE, GROUND FLOOR, CHICAGO, IL 60640-2288
(312) 343-8372
(708) 406-1544
Mailing address
1415 W FOSTER AVE, GROUND FLOOR, CHICAGO, IL 60640-2288
(312) 343-8372
(708) 406-1544

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-001494
IL
363LA2200X
Adult Health Nurse Practitioner
209-001494
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
248489523-00
BWC OHIO
Enumeration date
08/03/2006
Last updated
11/20/2013
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