Individual
LAKETA AARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4006 JACKSON ST, BELLWOOD, IL 60104-2014
(312) 970-1081
Mailing address
4006 JACKSON ST, BELLWOOD, IL 60104-2014
(312) 970-1081
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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