Individual
JANTHINA SUZEL OLASCOAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3723 W 70TH ST, CHICAGO, IL 60629-4232
(773) 895-5980
Mailing address
3723 W 70TH ST, CHICAGO, IL 60629-4232
(773) 895-5980
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
041460320
IL
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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