Individual
DAMIYA FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 S INDIANA AVE STE 2NE, CHICAGO, IL 60605-2857
(773) 377-5577
Mailing address
1550 S INDIANA AVE STE 2NE, CHICAGO, IL 60605-2857
(708) 669-9805
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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