Individual
ANTOINETTE MARIE MOTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3156 W 100TH PL, EVERGREEN PARK, IL 60805-3503
(773) 343-6950
(708) 424-3609
Mailing address
3156 W 100TH PL, EVERGREEN PARK, IL 60805-3503
(773) 343-6950
(708) 424-3609
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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