Individual
MRS. HEREDESHEE LATRICE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3201 HOLDEN CIR, MATTESON, IL 60443
(773) 531-9794
Mailing address
3201 HOLDEN CIR, MATTESON, IL 60443-4435
(773) 531-9794
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014223
IL
Other
Enumeration date
04/16/2016
Last updated
06/05/2018
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