Individual
MS. EUNICE D SALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA AND PA
Contact information
Practice address
9220 S DAUPHIN AVE, SUITE 2, CHICAGO, IL 60619-7723
(312) 576-7127
(773) 874-0131
Mailing address
9220 S DAUPHIN AVE, SUITE 2, CHICAGO, IL 60619-7723
(312) 576-7127
(773) 874-0131
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
A
IL
Other
Enumeration date
02/03/2009
Last updated
07/21/2022
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