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General NPI Number Information
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NPI Number | 1285442491
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Entity Type | Organization
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Legal Business Name | HOWARD FAMILY CLINIC & URGENT CARE PLLC
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 2045 W GRAND AVE STE B
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City | CHICAGO
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State | IL
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Zip | 60612-1577
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Country | US
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Telephone | 773-250-1589
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Fax |
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Provider Business Mailing Address
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Address Line | 2045 W GRAND AVE STE B
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City | CHICAGO
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State | IL
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Zip | 60612-1577
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Country | US
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Telephone | 773-250-1589
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHERLONDA HOWARD
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Credential | APRN, FNP-C, FPA,
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Telephone | 708-495-1847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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