Individual
TRANISE D'AUNDREA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
824 N MONTICELLO AVE, CHICAGO, IL 60651-3947
(312) 550-2551
Mailing address
2704 N HARDING AVE, CHICAGO, IL 60647-1026
(312) 550-2551
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/29/2022
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