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Organization

DEPT OF VETERANS AFFAIRS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNE CHRISTINA ODONNELL NP (NP)
(312) 469-3962
Entity
Organization

Contact information

Practice address
333 E HURON ST, ROOM 117, CHICAGO, IL 60611-3004
(312) 924-2513
Mailing address
333 E HURON ST, CHICAGO, IL 60611-3004

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
209002776
IL

Other

Enumeration date
04/17/2006
Last updated
07/02/2008
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