CAROLYN A DICKENS

THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

Dr CAROLYN A DICKENS is a female medical professional, specializing in Nurse Practitioner. She graduated in 1999.

Contact

THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

840 S WOOD ST MC
787 UIC MEDICINE
CHICAGO
IL
606124325

Tel: 3124138687

CAROLYN A DICKENS Information

Npi 1962516773
Pac Id 9638228232
Professional Enrollment Id I20090529000510
Last Name DICKENS
First Name CAROLYN
Middle Name A
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1999
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Group Practice Pac Id 3072422716
Number Of Group Practice Members 790
Line 1 Street Address 840 S WOOD ST MC
Line 2 Street Address 787 UIC MEDICINE
Marker Of Address Line 2 Suppression
City CHICAGO
State IL
Zip Code 606124325
Phone Number 3124138687
Hospital Affiliation Ccn 1 140150
Hospital Affiliation Lbn 1 UNIVERSITY OF ILLINOIS HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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