Individual
MS. LAPORTIA SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5241 W QUINCY ST, CHICAGO, IL 60644-4338
(773) 398-0014
Mailing address
5241 W QUINCY ST, CHICAGO, IL 60644-4338
(773) 398-0014
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
041388265
IL
Other
Enumeration date
08/23/2020
Last updated
09/08/2020
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