Individual
SANDREA TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 W HARRISON ST, CHICAGO, IL 60612-3736
(312) 864-5186
Mailing address
1900 W HARRISON ST, CHICAGO, IL 60612-3736
(312) 864-5186
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
IL
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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