Individual
MS. LANITA HANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17123 CENTRAL PARK AVE, HAZEL CREST, IL 60429-1005
(708) 271-2918
Mailing address
17123 CENTRAL PARK AVE, HAZEL CREST, IL 60429-1005
(708) 271-2918
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
041361491
IL
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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