MISS Shirley Vernetha Willis III, REGISTERED NURSE
NPI #1285929620 in Blue Island, Illinois
Provider Information
- NPI Number
- 1285929620
- Entity Type
- Individual
- Name
- MISS Shirley Vernetha Willis III, REGISTERED NURSE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Credential
- REGISTERED NURSE
- Enumeration Date
- Jun 14, 2011
- Last Updated
- Jun 23, 2011
Practice Location
- Address
- 13136 WESTERN AVE
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406-2423
- Phone
- (708) 974-5800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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