Individual
TALISA J HALEY WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5151 CHURCH ST, SKOKIE, IL 60077-1123
(312) 623-5595
Mailing address
5151 CHURCH ST, SKOKIE, IL 60077-1123
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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