MS. Lacanda Willis

NPI #1528259959 in Chicago, Illinois

Provider Information

NPI Number: 1528259959
Entity Type: Individual
Name: MS. Lacanda Willis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Aug 9, 2007
Last Updated: Aug 9, 2007

Practice Location

Address: 1507 E 53RD ST
Address 2: SUITE 283
City: Chicago
State: Illinois
ZIP Code: 60615-4509
Phone: (773) 837-4163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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