Individual
LA'KASEY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5000
Mailing address
6318 BERRY PATH TRL, MATTESON, IL 60443-2795
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041560691
IL
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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