Individual
MRS. DANICA TONYA HOMERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
736 W 95TH ST, CHICAGO, IL 60628-1063
(737) 487-7700
Mailing address
736 W 95TH ST, CHICAGO, IL 60628-1063
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209025700
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209025700
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
09/06/2022
Last updated
07/31/2025
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