Individual
YVONETTA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
422 ELGIN AVE APT 1, FOREST PARK, IL 60130-3179
(708) 714-7435
Mailing address
422 ELGIN AVE APT 1, FOREST PARK, IL 60130-3179
(708) 714-7435
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043063207
IL
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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