# MOMMY & ME HEALTH TEAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972394393
- **Authorized official:** LENITA DESHOUN MILLER CNA (OWNER)
- **Authorized official phone:** (630) 460-8213

## Contact information

- **Practice address:** 21315 TOWER AVE, MATTESON, IL 60443-2453
- **Practice address phone:** (630) 460-8213
- **Mailing address:** 21315 TOWER AVE, MATTESON, IL 60443-2453
- **Mailing address phone:** (630) 460-8213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 376K00000X | Nurse's Aide | — | NULL | Yes |
| 376K00000X | Nurse's Aide | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2025
- **Last updated:** 05/15/2025