Individual
LENIKA DE SIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 S WOOD ST, CHICAGO, IL 60612-4325
(312) 355-0732
Mailing address
3656 N BOSWORTH AVE, CHICAGO, IL 60613-3604
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
246000464
IL
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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