Individual
LAVANDY GOINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8032 S BISHOP ST, CHICAGO, IL 60620-3852
(773) 407-9930
Mailing address
8032 S BISHOP ST, CHICAGO, IL 60620-3852
(773) 407-9930
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.478850
IL
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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