Individual
KATRICE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7510 S WINCHESTER AVE, CHICAGO, IL 60620-5220
(773) 799-1808
Mailing address
PO BOX 424, HINES, IL 60141-0424
(773) 799-1808
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043102998
IL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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