Individual
LATURA STIGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1650 187TH ST, HOMEWOOD, IL 60430-3852
(773) 368-9302
Mailing address
2020 W HARRISON ST, CHICAGO, IL 60612-3741
(312) 572-2416
(312) 572-2740
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209024982
IL
Other
Enumeration date
07/09/2022
Last updated
03/13/2024
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