Individual
RA'KEISHA T LAMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
418 N RIDGEWAY AVE, CHICAGO, IL 60624-1230
(773) 749-6120
Mailing address
418 N RIDGEWAY AVE, CHICAGO, IL 60624-1230
(773) 749-6120
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
L56073884770
IL
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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