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Individual

LENITA WEATHERSBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6821 S HALSTED ST, CHICAGO, IL 60621-1833
(773) 651-3629
(773) 322-1599
Mailing address
2100 YORK ST APT 1F, BLUE ISLAND, IL 60406-2568
(773) 953-3749

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
041511278
IL

Other

Enumeration date
04/20/2023
Last updated
04/20/2023
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