Individual
DAVEENA HUDSON-POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
11748 SOUTH VINCENNES AVE, CHICAGO, IL 60643
(773) 263-9529
Mailing address
11748 S VINCENNES AVE, CHICAGO, IL 60643-4913
(773) 263-9529
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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