Antwaniqua White

NPI #1023621364 in Chicago, Illinois

Provider Information

NPI Number
1023621364
Entity Type
Individual
Name
Antwaniqua White
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Homemaker
Enumeration Date
Aug 26, 2020
Last Updated
Aug 26, 2020

Practice Location

Address
3500 S LAKE PARK AVE APT 405
ZIP Code
60653-1561
Phone
(773) 397-2555

Specialties & Taxonomy Codes

Specialty
Homemaker

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