Individual
KIARA WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5501 S HALSTED ST, CHICAGO, IL 60621-2229
(773) 275-2586
Mailing address
5501 S HALSTED ST, CHICAGO, IL 60621-2229
(773) 275-2586
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.455972
IL
Other
Enumeration date
07/14/2022
Last updated
02/13/2024
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