Individual
FLAVION LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
3700 W 203RD ST STE 110, OLYMPIA FIELDS, IL 60461-1181
(708) 679-1890
(708) 747-9859
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000497
IL
Other
Enumeration date
08/11/2016
Last updated
07/18/2023
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