Individual
ERICKA LAVISTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-0376
Mailing address
1801 S MICHIGAN AVE APT 706, CHICAGO, IL 60616-1646
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041483872
IL
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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