Individual
CURTISSA WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1037 N HARLEM AVE, 1SA, OAK PARK, IL 60302-1568
(708) 383-1895
Mailing address
1037 N HARLEM AVE, 1SA, OAK PARK, IL 60302-1568
(708) 383-1895
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
04308122
IL
Other
Enumeration date
11/08/2015
Last updated
11/08/2015
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