Individual
SHANTA D AMICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
147 W 150TH ST, HARVEY, IL 60426
(708) 539-8585
Mailing address
147 W 150TH ST, HARVEY, IL 60426
(708) 539-8585
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
06/20/2024
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