Individual
MR. WILLIE APPLEWHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15516 MYRTLE AVE, HARVEY, IL 60426-4319
(708) 654-3891
Mailing address
15516 MYRTLE AVE, HARVEY, IL 60426-4319
(708) 654-3891
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
IL
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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