Individual
MRS. LATOSHA C MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LE
Contact information
Practice address
6851 167TH ST STE 22, TINLEY PARK, IL 60477-2501
(779) 900-7304
Mailing address
1315 EAST ST, CRETE, IL 60417-2241
(779) 900-7304
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
220.000305
IL
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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