Individual
ANTOINE J WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3442 177TH ST, LANSING, IL 60438-2036
(708) 527-6305
Mailing address
930 E 162ND ST, SOUTH HOLLAND, IL 60473-2442
(708) 677-6715
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
W25201083167
IL
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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