Individual
JANIECE SHORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5135 S BLACKSTONE AVE APT 203, CHICAGO, IL 60615-6313
(312) 348-4456
Mailing address
5135 S BLACKSTONE AVE APT 203, CHICAGO, IL 60615-6313
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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