Individual
LATONYA WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 S DANTE AVE, CHICAGO, IL 60619-7118
(833) 717-4244
Mailing address
15019 BEACHVIEW TER, DOLTON, IL 60419-2508
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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