Individual
COURTNEY WAISATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
155 N HARBOR DR APT 3411, CHICAGO, IL 60601-7366
(480) 268-4311
Mailing address
155 N HARBOR DR APT 3411, CHICAGO, IL 60601-7366
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041525604
IL
Other
Enumeration date
09/04/2023
Last updated
12/13/2023
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