Individual
ERICA BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1849 S CICERO AVE, CICERO, IL 60804-2544
(708) 656-9500
Mailing address
1849 S CICERO AVE, CICERO, IL 60804-2544
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043089830
IL
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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