Individual
SHAUNICE MARY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 W TAYLOR ST # 2501, CHICAGO, IL 60607-4623
(872) 588-7422
Mailing address
1440 W TAYLOR ST # 2501, CHICAGO, IL 60607-4623
(872) 588-7422
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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