Individual
LITORIA YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1451 RICHMOND LN, ALGONQUIN, IL 60102-6060
(847) 921-7647
Mailing address
1451 RICHMOND LN, ALGONQUIN, IL 60102-6060
(847) 921-7647
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
Y32053285946
IL
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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