Individual
MARIA L KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1127 N OAKLEY BLVD, CHICAGO, IL 60622-3507
(312) 770-2317
(312) 770-3424
Mailing address
1127 N OAKLEY BLVD, CHICAGO, IL 60622-3507
(312) 770-2317
(312) 770-3424
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041411729
IL
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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