Judge, Diane

Judge, Diane is an individual health care provider with primary practice located at 1015 W Lawrence Ave , Chicago IL 60640-5017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Judge, Diane can be contacted via phone (773) 751-1704.

Contact Information

Primary practice address
1015 W Lawrence Ave Chicago IL 60640-5017
Phone: (773) 751-1704
Fax: (773) 751-4175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 309000612 Illinois

Profile Details

NPI number 1801888193
LBN Legal business name Judge, Diane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Mar 16th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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