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Individual

MS. SHENEAL LAFAYE GILLESPIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11560 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-4517
(708) 974-5126
(312) 986-4342
Mailing address
11560 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-4517
(708) 974-5126
(312) 986-4342

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043105024
IL

Other

Enumeration date
06/17/2026
Last updated
06/17/2026
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