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Individual

MS. ZABRINA L WORTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7205 S SAWYER AVE, CHICAGO, IL 60629-3537
(773) 590-6783
Mailing address
7205 S SAWYER AVE, CHICAGO, IL 60629-3537
(773) 590-6783

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
4122239396062901
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4122239396062901
HFS PAYEE
IL
Enumeration date
04/16/2008
Last updated
04/16/2008
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