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NPI Code Detail

MEDICARE: CHELSIA MARIE LOVE CNM

MEDICARE:   CHELSIA MARIE LOVE  CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner26021TN
2367A00000XAdvanced Practice Midwife209025732IL

General Provider Information

NPI Number : 1891349288
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSIA MARIE LOVE CNM
Provider Business Mailing Address
First Line : 1001 S STATE ST UNIT 2707
Second Line :
City : CHICAGO
State : IL
Zip : 60605-2242
Country : US
Telephone Number : 901-626-7619
Fax Number :
Provider Business Practice Location Address
First Line : 7037 S STONY ISLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60649-1905
Country : US
Telephone Number : 312-996-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2019
Last Update Date : 09/21/2022

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Directions to “ CHELSIA MARIE LOVE CNM” Practice Location

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