Individual
LASHONDA CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 OTTO BLVD, CHICAGO HEIGHTS, IL 60411-3875
(708) 625-1069
Mailing address
18300 S HALSTED ST STE B341, GLENWOOD, IL 60425-1039
(708) 625-1069
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/30/2025
Last updated
07/29/2025
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