Individual
DANIELLE N WILKINS-TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18608 LYN CT, HOMEWOOD, IL 60430-3855
(708) 400-9075
Mailing address
18608 LYN CT, HOMEWOOD, IL 60430-3855
(708) 400-9075
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
W42517476871
IL
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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