Individual
KANISHA COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7518 S RIDGELAND AVE, CHICAGO, IL 60649-3907
(708) 574-7727
Mailing address
7518 S RIDGELAND AVE, CHICAGO, IL 60649-3907
(708) 574-7727
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
T7E3W3W5
IL
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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