Individual
LATONYA HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 MADISON ST, LANSING, IL 60438-3905
(708) 527-0296
(708) 474-3623
Mailing address
3535 MADISON ST, LANSING, IL 60438-3905
(708) 527-0296
(708) 474-3623
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-3142874
—
IN
Enumeration date
04/16/2019
Last updated
04/16/2019
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