person
Ms. Lacanda Willis
Driver in Chicago, Illinois
NPI 1528259959

Lacanda Willis is a Driver based in Chicago, IL. Lacanda Willis practices in Chicago, IL. The NPI Number for Lacanda Willis is 1528259959 and holds a License No. (Illinois).

The current practice location address for Lacanda Willis is 1507 E 53Rd St, Chicago, IL and can be reached out via phone at 773-837-4163 and via fax at 708-798-2454.

Location: 1507 E 53Rd St, Chicago, IL, 60615-4509
person
Provider Profile Details
NPI Number
1528259959
Provider Name
Lacanda Willis
Credential
Provider Entity Type
Individual
Gender
Female
Address
1507 E 53Rd St, Chicago, IL, 60615-4509
Phone Number
773-837-4163
Fax Number
708-798-2454
Provider Enumeration Date
08/09/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
36435163002 05 IL
institution
Provider Business Practice Location Address Details
Address
1507 E 53Rd St
City
State
Zip
60615-4509
Phone Number
773-837-4163
Fax Number
708-798-2454
person
Provider Business Mailing Address Details
Address
1507 E 53Rd St
City
State
Zip
60615-4509
Phone Number
773-837-4163
Fax Number
708-798-2454
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
(Illinois)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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