institution
Provider Stat Pllc
Family Nurse Practitioner in Chicago, Illinois
NPI 1487372546

Provider Stat Pllc is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Provider Stat Pllc practices in Chicago, IL. The NPI Number for Provider Stat Pllc is 1487372546 and holds a License No. (Illinois).

The current practice location address for Provider Stat Pllc is 6374 N Lincoln Ave Ste 312, Chicago, IL and can be reached out via phone at 312-308-0219.

Location: 6374 N Lincoln Ave Ste 312, Chicago, IL, 60659-1224
institution
Provider Profile Details
NPI Number
1487372546
Provider Name
Provider Stat Pllc
Credential
Provider Entity Type
Organization
Address
6374 N Lincoln Ave Ste 312, Chicago, IL, 60659-1224
Phone Number
312-308-0219
Fax Number
Provider Enumeration Date
08/16/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6374 N Lincoln Ave Ste 312
City
State
Zip
60659-1224
Phone Number
312-308-0219
Fax Number
person
Provider Business Mailing Address Details
Address
6374 N Lincoln Ave Ste 312
City
State
Zip
60659-1224
Phone Number
312-308-0219
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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