HEREDESHEE LATRICE TAYLOR

MATTESON, IL
NPI1669826657
Former NameHEREDESHEE LATRICE WILSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209014223)
Enumeration Date2016-04-16
Last Update Date2018-06-05
Business Address
Mrs. HEREDESHEE LATRICE TAYLOR FNP
3201 HOLDEN CIR
MATTESON, IL 60443
Phone number: 773-531-9794
Mailing Address
Mrs. HEREDESHEE LATRICE TAYLOR FNP
3201 HOLDEN CIR
MATTESON, IL 60443-4435
Phone number: 773-531-9794
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