Individual
CEDRIC JUAN MCKOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
5841 S MARYLAND AVE # 2030, CHICAGO, IL 60637-1447
(773) 834-7854
Mailing address
9525 S SPAULDING AVE, EVERGREEN PARK, IL 60805-2200
(773) 372-5113
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209005033
IL
Other
Enumeration date
04/23/2007
Last updated
08/18/2015
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