Individual
LATOYIA BEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4016 CATALPA ST, EAST CHICAGO, IN 46312-2946
(219) 951-2510
Mailing address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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