Cassidy, Gwen M

Cassidy, Gwen M is an individual health care provider with primary practice located at 675 N Saint Clair St 17Th Floor, Chicago IL 60611-5975. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Cassidy, Gwen M can be contacted via phone (312) 695-5620.

Contact Information

Primary practice address
675 N Saint Clair St 17Th Floor Chicago IL 60611-5975
Phone: (312) 695-5620
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209011722 Illinois

Profile Details

NPI number 1588063994
LBN Legal business name Cassidy, Gwen M
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2014
Last updated Aug 21st, 2014 - about 10 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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