Individual
CAROLYN A. DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
809 S MARSHFIELD AVE, 9TH FLOOR (M/C 732), CHICAGO, IL 60612-4305
(312) 996-7699
(312) 996-1001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
041312669
IL
363L00000X
Nurse Practitioner
Primary
277.002899
IL
363LA2100X
Acute Care Nurse Practitioner
277.002899
IL
Other
Enumeration date
08/18/2006
Last updated
02/24/2025
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