Mrs. Gina Marie Palm
Nurse Practitioner - Pediatrics
6631 N Bosworth Ave
Chicago
, Illinois 60626-4223
Mrs. Gina Marie Palm
Nurse Practitioner - Pediatrics
6631 N Bosworth Ave
Chicago
, Illinois 60626-4223
(773) 761-5005
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Gina Marie Palm
- 6631 N Bosworth Ave
- Chicago, IL
- Zip : 60626-4223
- Fax : (773) 761-5005
- Phone : (773) 761-5035
Second Address
- Mrs. Gina Marie Palm
- 6631 N Bosworth Ave
- Chicago, IL
- Zip : 60626-4223
- Fax : (773) 761-5005
- Phone : (773) 761-5035
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 209004482 | IL |
National Provider Identifier
| NPI | 1033148275 |
|---|---|
| Provider Name | Mrs. Gina Marie Palm |
| First Address | Chicago, IL 60626-4223 |
| Second Address | Chicago, IL 60626-4223 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2006 |
| Last Update Date | 14/05/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.