KEISHA NICOLE HOUSE

CHICAGO, IL
NPI1619400074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  277000995)
Enumeration Date2017-04-04
Last Update Date2021-01-13
Business Address
KEISHA NICOLE HOUSE
3240 W DIVISION ST
CHICAGO, IL 60651-2405
Phone number: 312-413-7425
Mailing Address
KEISHA NICOLE HOUSE
3240 W DIVISION ST
CHICAGO, IL 60651-2405
Phone number: 312-413-7425
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