Individual
LUELLA GREER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 N LAMON AVE, CHICAGO, IL 60651-3137
(773) 664-7520
Mailing address
1001 N LAMON AVE, CHICAGO, IL 60651-3137
(773) 664-7520
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA436
IL
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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