Individual
MS. SHAVANTE DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3249 N CENTRAL AVE, CHICAGO, IL 60634-4360
(773) 371-3700
Mailing address
3249 N CENTRAL AVE, CHICAGO, IL 60634-4360
(773) 371-3700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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