NPI 1003351917

Lakesha Ealom

Practitioner Registered Nurse Chicago, IL

Practice location

Address: 2825 S Halsted St Suite 311, Chicago, IL 60608-5962
Phone: (708) 394-3120

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 041343237 (IL)

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Registry record

NPI: 1003351917
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Dec 2016
Record last updated: 31 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.