Individual
MISS DIANE LAKITA DOTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9211SO. LAFLIN, 2A, CHICAGO, IL 60620-6504
(773) 596-8500
Mailing address
9211SO. LAFLIN, 2A, CHICAGO, IL 60620-6504
(773) 596-8500
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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