Individual
SONYA PHILLIPS-ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1534 N LATROBE AVE, CHICAGO, IL 60651-1409
(773) 949-1672
Mailing address
1534 N LATROBE AVE, CHICAGO, IL 60651-1409
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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