Individual
SHAMYRA HARRIS KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1625 S HARDING AVE APT 1, CHICAGO, IL 60623-3973
(773) 698-2414
Mailing address
1625 S HARDING AVE APT 1, CHICAGO, IL 60623-3973
(773) 698-2414
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
IL
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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