Wiersum, Violet Corinne Boothe

Wiersum, Violet Corinne Boothe is an individual health care provider with primary practice located at 676 N Saint Clair St Ste 14-044 , Chicago IL 60611-2927. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wiersum, Violet Corinne Boothe can be contacted via phone (312) 908-8163.

Contact Information

Primary practice address
676 N Saint Clair St Ste 14-044 Chicago IL 60611-2927
Phone: (312) 908-8163
Fax: (312) 695-1394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 041421701 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209025108 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209025108 Illinois

Profile Details

NPI number 1326791914
LBN Legal business name Wiersum, Violet Corinne Boothe
Credentials APRN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2022
Last updated Sep 21st, 2022 - about 2 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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