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Individual

MS. DEIARA LASHAE KIZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN-BSN

Contact information

Practice address
107 W 74TH ST UNIT G, CHICAGO, IL 60621-3403
(630) 881-7583
Mailing address
107 W 74TH ST UNIT 2, UNIT G, CHICAGO, IL 60621-3403
(630) 881-7583

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
041484642
IL
163WC1600X
Continuing Education/Staff Development Registered Nurse
041484642
IL
163WH1000X
Hospice Registered Nurse
0410484642
IL
163WN1003X
Nutrition Support Registered Nurse
041484642
IL
163WS0200X
School Registered Nurse
041484642
IL
163WW0101X
Ambulatory Women's Health Care Registered Nurse
041484642
IL
171M00000X
Case Manager/Care Coordinator
0410484642
IL
172V00000X
Community Health Worker
0410484642
IL
1744R1102X
Research Study Specialist
0410484642
IL
1744R1103X
Research Study Abstracter/Coder
0410484642
IL
174H00000X
Health Educator
0410484642
IL
251E00000X
Home Health Agency
0410484642
IL
251G00000X
Community Based Hospice Care Agency
0410484642
IL
251K00000X
Public Health or Welfare Agency
0410484642
IL
251S00000X
Community/Behavioral Health Agency
0410484642
IL

Other

Enumeration date
10/22/2025
Last updated
01/13/2026
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