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Individual

MRS. CHENA BAITY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BACHELORS, MASTERS,

Contact information

Practice address
629 NORTHGATE LN, SHOREWOOD, IL 60404-9551
(708) 316-8724
(815) 409-7926
Mailing address
PO BOX 598, PLAINFIELD, IL 60544-0598
(708) 316-8724
(815) 409-7926

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
043069407
IL
343900000X
Non-emergency Medical Transport (VAN)
Primary
IL

Other

Enumeration date
06/28/2019
Last updated
07/01/2019
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