JAWAN LASLEY

CHICAGO, IL
NPI1871256669
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  277002699)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  277002699)
Enumeration Date2021-10-19
Last Update Date2025-05-29
Business Address
JAWAN LASLEY
2600 S. MICHIGAN AVE LLD
CHICAGO, IL 60616
Phone number: 773-354-0415
Mailing Address
JAWAN LASLEY
3753 S COTTAGE GROVE AVE
CHICAGO, IL 60653-1662
Phone number: 312-479-3038