Individual
KAYDIANN A BROWN-STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8011 S BACKSTONE AVE, CHICAGO, IL 60619
(773) 322-7375
Mailing address
8011 S BLACKSTONE AVE, CHICAGO, IL 60619-4614
(773) 322-7375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041461144
IL
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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