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Individual

MISS YVONNE CALDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
8600 S. PULASKI, ROAD, CHICAGO, IL 60652
(773) 838-5660
Mailing address
8600 S. PULASKI, ROAD, CHICAGO, IL 60652
(773) 838-5660

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.072006
IL

Other

Enumeration date
10/13/2016
Last updated
10/13/2016
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