NPI 1023621364
Antwaniqua White
Practice location
- Address
- 3500 S Lake Park Ave APT 405, Chicago, IL 60653-1561
- Phone
- (773) 397-2555
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1023621364
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Aug 2020
- Record last updated
- 26 Aug 2020
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.