Individual
TASHIDIA STEVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 542-2000
Mailing address
7456 WASHINGTON ST APT 302, FOREST PARK, IL 60130-1512
(773) 329-0073
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041372748
IL
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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