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Individual

LUTRICIA BANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
4131 WEHRMAN AVE, SCHILLER PARK, IL 60176-1844
(847) 678-0380
Mailing address
2105 S 7TH AVE, MAYWOOD, IL 60153-3222

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043073978
IL

Other

Enumeration date
07/20/2017
Last updated
07/20/2017
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