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Individual

RITA DENISE BERENDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
1740 W TAYLOR ST, MC 541, CHICAGO, IL 60612-7232
(312) 996-4842
Mailing address
912 S WOOD ST, MC 799, CHICAGO, IL 60612-4300
(312) 996-4842

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
IL

Other

Enumeration date
12/17/2007
Last updated
12/17/2007
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