Individual
EVA VIVIAN-JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8112 S RICHMOND ST, CHICAGO, IL 60652-2735
(773) 970-1801
(888) 649-4611
Mailing address
8112 S RICHMOND ST, CHICAGO, IL 60652-2735
(773) 970-1801
(888) 649-4611
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
1899264
IL
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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