Individual
MONEIK FRANKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
600 HOLIDAY PLAZA DR STE 501, MATTESON, IL 60443-2359
(773) 676-0365
Mailing address
4350 211TH ST STE 210A, MATTESON, IL 60443-3082
(773) 676-0369
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043109473
IL
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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