Individual
MISS VONEITA S. WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.T.
Contact information
Practice address
324 E 46TH STREET #2B, CHICAGO, IL 60653-4002
(773) 678-5403
(773) 538-3454
Mailing address
324 E 46TH STREET #2B, CHICAGO, IL 60653-4002
(773) 678-5403
(773) 538-3454
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
VW40831200P
IL
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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