Individual
AISHA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-8387
Mailing address
1200 E 171ST CT, SOUTH HOLLAND, IL 60473-3564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.546530
IL
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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