Individual
MRS. QIANA NAKEA SHELTON-SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.T.
Contact information
Practice address
538 W 120TH ST, CHICAGO, IL 60628-5932
(773) 928-0922
(708) 868-1290
Mailing address
538 W 120TH ST, CHICAGO, IL 60628-5932
(773) 928-0922
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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