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1508400383
CHINITA DILLARD
CHICAGO, IL
NPI
1508400383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043.107060)
Enumeration Date
2019-11-04
Last Update Date
2019-11-04
Business Address
CHINITA DILLARD
11826 S HARVARD AVE
CHICAGO, IL 60628-6008
Phone number: 708-692-8149
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Mailing Address
CHINITA DILLARD
PO BOX 185
FLOSSMOOR, IL 60422-0185
Phone number: 708-692-8149
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