Individual
ANITA ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5600 WOLF RD, WESTERN SPRINGS, IL 60558-2254
(708) 460-9387
Mailing address
5600 WOLF RD, WESTERN SPRINGS, IL 60558-2254
(708) 460-9387
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.060823
IL
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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