Provider Stat Pllc

NPI #1487372546 in Chicago, Illinois

Provider Information

NPI Number
1487372546
Entity Type
Organization
Organization Name
Provider Stat Pllc
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Aug 16, 2022
Last Updated
Jan 16, 2023

Practice Location

Address
6374 N LINCOLN AVE STE 312
ZIP Code
60659-1224
Phone
(312) 308-0219

Authorized Official

Name
DINA ZIMMERMAN, FNP
Title
OWNER
Phone
(312) 308-0219

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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