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Individual

XYAVIA GEIGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CERTIFIED NURSING AS

Contact information

Practice address
3206 WESTERN AVE, PARK FOREST, IL 60466-1805
(773) 968-5624
Mailing address
3206 WESTERN AVE, PARK FOREST, IL 60466-1805
(773) 968-5624

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
376K00000X
IL
Enumeration date
09/04/2020
Last updated
09/04/2020
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