Organization
DESIRED MEDICAL SERVICES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LANNEKA WHITE NP (OWNER)
(708) 394-3296
Entity
Organization
Contact information
Practice address
3224 RIDGE RD STE 201, LANSING, IL 60438-3191
(708) 394-3296
Mailing address
3224 RIDGE RD STE 201, LANSING, IL 60438-3191
(708) 394-3296
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277.000158
—
IL
Enumeration date
07/29/2020
Last updated
12/07/2021
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