Individual
BRITTANI EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
58 E 158TH PL, SOUTH HOLLAND, IL 60473-1401
(708) 913-4298
Mailing address
525 GROSVENOR PL, CHICAGO HEIGHTS, IL 60411-1829
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043114202
IL
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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