Individual
LATRICIA WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMA
Contact information
Practice address
353 S CICERO AVE, CHICAGO, IL 60644-4905
(773) 309-8749
(773) 309-8760
Mailing address
10830 S BENSLEY AVE, CHICAGO, IL 60617-6416
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
376J00000X
IL
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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