Individual
MS. LAURA A KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4316 W ADAMS ST APT 2E, CHICAGO, IL 60624-2641
(773) 491-8323
Mailing address
4316 W ADAMS ST APT 2E, CHICAGO, IL 60624-2641
(773) 491-8323
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043122787
IL
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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