Individual
JUANITA R SOUKOUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
9519 OAK PARK AVE, OAK LAWN, IL 60453-2136
(708) 675-0575
(708) 430-8553
Mailing address
9519 OAK PARK AVE, OAK LAWN, IL 60453-2136
(708) 675-0575
(708) 766-7812
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041312976
IL
163WC0400X
Case Management Registered Nurse
041-312976
IL
Other
Enumeration date
03/16/2007
Last updated
09/22/2025
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