Individual
MRS. BIANCA CHATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 SAUK TRL UNIT B, RICHTON PARK, IL 60471-1017
(708) 773-1643
Mailing address
6413 BRIDLE PATH DR, MATTESON, IL 60443-3344
(708) 937-2263
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28204939A
IN
363LF0000X
Family Nurse Practitioner
Primary
277.001938
IL
363LF0000X
Family Nurse Practitioner
28204939A
IN
Other
Enumeration date
01/25/2019
Last updated
09/12/2023
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