Individual
DARNELL NATHANIEL MOTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1525 E 53RD ST STE 623, CHICAGO, IL 60615-4530
(219) 689-2734
Mailing address
1642 E 56TH ST APT 813, CHICAGO, IL 60637-1975
(219) 689-2734
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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