Individual
KEONA PHILEMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 CORNELL AVE, CALUMET CITY, IL 60409-1728
(773) 310-5533
Mailing address
301 CORNELL AVE, CALUMET CITY, IL 60409-1728
(773) 310-5533
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.382418
IL
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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