Individual
JOYCE BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN (LICENSED PRACTI
Contact information
Practice address
140 NORTH ASHLAND AVENUE, CHICAGO, IL 60607
(312) 850-9411
Mailing address
140 NORTH ASHLAND AVENUE, CHICAGO, IL 60607
(312) 850-9411
(312) 850-3288
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.070139
IL
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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