person
Keisha Nicole House
Family Nurse Practitioner in Chicago, Illinois
NPI 1619400074

Keisha Nicole House is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Keisha Nicole House practices in Chicago, IL. The NPI Number for Keisha Nicole House is 1619400074 and holds a License No. 277000995 (Illinois).

The current practice location address for Keisha Nicole House is 3240 W Division St, Chicago, IL and can be reached out via phone at 312-413-7425 and via fax at 312-413-2588.

Location: 3240 W Division St, Chicago, IL, 60651-2405
person
Provider Profile Details
NPI Number
1619400074
Provider Name
Keisha Nicole House
Credential
Provider Entity Type
Individual
Gender
Female
Address
3240 W Division St, Chicago, IL, 60651-2405
Phone Number
312-413-7425
Fax Number
312-413-2588
Provider Enumeration Date
04/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3240 W Division St
City
State
Zip
60651-2405
Phone Number
312-413-7425
Fax Number
312-413-2588
person
Provider Business Mailing Address Details
Address
3240 W Division St
City
State
Zip
60651-2405
Phone Number
312-413-7425
Fax Number
312-413-2588
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
277000995 (Illinois)
Definition
Definition to come...
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