Individual
MS. JITTAUN YVETTE BOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 S STATE ST, CHICAGO, IL 60604-3900
(312) 747-0036
Mailing address
8641 S YATES BLVD, CHICAGO, IL 60617-2319
(773) 930-9694
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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