Individual
MS. LASHONDA STOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 TIFFANY PT STE 106, BLOOMINGDALE, IL 60108-2915
(224) 653-9507
(224) 653-9387
Mailing address
1 TIFFANY PT STE 106, BLOOMINGDALE, IL 60108-2915
(224) 653-9507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.024287
IL
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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