Individual
LAKESHA EALOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2825 S HALSTED ST, SUITE 311, CHICAGO, IL 60608-5962
(708) 394-3120
Mailing address
2825 S HALSTED ST, SUITE 311, CHICAGO, IL 60608-5962
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041343237
IL
Other
Enumeration date
12/31/2016
Last updated
12/31/2016
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