Individual
MRS. DIANETTE GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 S MAPLEWOOD AVE, 2FL, CHICAGO, IL 60629-1626
(502) 294-2195
Mailing address
6330 S MAPLEWOOD AVE, 2FL, CHICAGO, IL 60629-1626
(502) 294-2195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041305318
IL
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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