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Individual

LASHON SHORTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5070 W ADAMS ST, CHICAGO, IL 60644-4342
(773) 559-9014
(773) 559-9014
Mailing address
5070 W ADAMS ST, CHICAGO, IL 60644-4342
(773) 559-9014
(773) 559-9014

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.034961
IL

Other

Enumeration date
05/12/2026
Last updated
05/12/2026
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