Individual
TIARA LASHAY BRAZILL-JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6041 W 63RD ST, CHICAGO, IL 60638-4395
(773) 388-1600
Mailing address
6041 W 63RD ST, CHICAGO, IL 60638-4395
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
041545418
IL
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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