Individual
DONTANE FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6002 S HALSTED ST, CHICAGO, IL 60621-2107
(312) 564-2383
(773) 874-3611
Mailing address
6002 S HALSTED ST, CHICAGO, IL 60621-2107
(312) 564-2383
(773) 874-3611
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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