Individual
BENETTA WEATHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-8387
Mailing address
7922 JANES AVE, 211, WOODRIDGE, IL 60517-3803
(708) 674-2771
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041291954
IL
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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