Individual
MRS. LAKISHA KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1704 W 107TH ST, CHICAGO, IL 60643-2704
(773) 936-7084
Mailing address
1704 W 107TH ST, CHICAGO, IL 60643-2704
(773) 936-7084
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209028083
IL
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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