Individual
MRS. SHARICA WINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 S MEYERS RD, LOMBARD, IL 60148-4724
(708) 724-9597
Mailing address
1301 S MEYERS RD, LOMBARD, IL 60148-4724
(708) 724-9597
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
W53079783630
IL
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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