Holly Rene N.P.

NPI 1023202116 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1023202116
Gender Female
Enumeration Date 08/31/2007
Last Updated 08/31/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5841 S MARYLAND AVE
CHICAGO IL, 60637-1447, US
Phone (773) 702-1000
Fax
Business Location
5841 S MARYLAND AVE
CHICAGO IL, 60637-1447, US
Phone (773) 702-1000
Fax
Toxanomy
Taxonomy Code 363L00000X
License State
License Number
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According to our database, Holly Rene N.P. NPI is 1023202116, taxonomy code is 363L00000X Holly Rene N.P. physically located at 5841 S Maryland Ave, Chicago IL, 60637-1447. NPI Number Holly Rene N.P. has the Individual type.

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1023202116 NPI number is provided on an as is basis without warranty of any kind. 1023202116 is maintained by the National Plan & Provider Enumeration System. The contents of Holly Rene N.P. are for informational purposes only.